{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "Exchange","last_updated_on": "2025-01-28","version": "1.0.0","provider_references": [                                                                                                                                                    
{"provider_group_id":1632596272,"provider_groups":[{"npi":[1457640047],"tin":{"type":"ein","value":"561282557"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Anesthesia For Proc On Salivary Glands, W/Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00100","description":"Anesthesia For Proc On Salivary Glands, W/Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Proc On Plastic Repair, Cleft Lip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00102","description":"Anesthesia For Proc On Plastic Repair, Cleft Lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Reconstructive Proc, Eyelid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00103","description":"Anesthesia For Reconstructive Proc, Eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Electroconvulsive Therapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00104","description":"Anesthesia, Electroconvulsive Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00120","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Otoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00124","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Otoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Tympanotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00126","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Tympanotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00140","description":"Anesthesia, Proc On Eye; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Lens Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00142","description":"Anesthesia, Proc On Eye; Lens Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Corneal Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00144","description":"Anesthesia, Proc On Eye; Corneal Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Vitreoretinal Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00145","description":"Anesthesia, Proc On Eye; Vitreoretinal Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Ophthalmoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00148","description":"Anesthesia, Proc On Eye; Ophthalmoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Iridectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00147","description":"Anesthesia, Proc On Eye; Iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Nose & Accessory Sinuses; Radical Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00162","description":"Anesthesia, Proc On Nose & Accessory Sinuses; Radical Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00160","description":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00164","description":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00170","description":"Anesthesia, Intraoral Proc, W/Bx; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00172","description":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Excision, Retropharyngeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00174","description":"Anesthesia, Intraoral Proc, W/Bx; Excision, Retropharyngeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Radical Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00176","description":"Anesthesia, Intraoral Proc, W/Bx; Radical Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Facial Bones/Skull; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00190","description":"Anesthesia, Proc On Facial Bones/Skull; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Facial Bones/Skull; Radical Surgery W/Prognathism)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00192","description":"Anesthesia, Proc On Facial Bones/Skull; Radical Surgery W/Prognathism)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00210","description":"Anesthesia, Intracranial Proc; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00211","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Burr Holes, W/Ventriculography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00214","description":"Anesthesia, Intracranial Proc; Burr Holes, W/Ventriculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Subdural Taps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00212","description":"Anesthesia, Intracranial Proc; Subdural Taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Cranioplasty/Elevation Depressed Skull Fx, Extradural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00215","description":"Anesthesia, Intracranial Proc; Cranioplasty/Elevation Depressed Skull Fx, Extradural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Vascular Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00216","description":"Anesthesia, Intracranial Proc; Vascular Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Proc In Sitting Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00218","description":"Anesthesia, Intracranial Proc; Proc In Sitting Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00222","description":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Cerebrospinal Fluid Shunting Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00220","description":"Anesthesia, Intracranial Proc; Cerebrospinal Fluid Shunting Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Head, Neck, Post Trunk Integumentary, Muscles/Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00300","description":"Anesthesia, Head, Neck, Post Trunk Integumentary, Muscles/Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Neck Organ Proc; Thyroid Needle Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00322","description":"Anesthesia, Neck Organ Proc; Thyroid Needle Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Neck Organ Proc; Nos, Age 1 Yr/Older","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00320","description":"Anesthesia, Neck Organ Proc; Nos, Age 1 Yr/Older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Larynx & Trachea Proc; Children <1 Yr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00326","description":"Anesthesia, Larynx & Trachea Proc; Children <1 Yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Vessels, Neck; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00350","description":"Anesthesia, Proc On Major Vessels, Neck; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00352","description":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00400","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Breast Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00402","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Breast Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Radical/Modified Radical Breast Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00404","description":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Radical/Modified Radical Breast Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Cardioversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00410","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Cardioversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Rad/Modified Rad Breast Surg W/Node Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00406","description":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Rad/Modified Rad Breast Surg W/Node Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Clavicle & Scapula; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00450","description":"Anesthesia, Proc On Clavicle & Scapula; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Clavicle & Scapula; Bx, Clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00454","description":"Anesthesia, Proc On Clavicle & Scapula; Bx, Clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00470","description":"Anesthesia, Partial Rib Resection; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Thoracoplasty, Any Type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00472","description":"Anesthesia, Partial Rib Resection; Thoracoplasty, Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Radical Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00474","description":"Anesthesia, Partial Rib Resection; Radical Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Brain, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00500","description":"Destruction of Brain, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Dura Mater, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00520","description":"Destruction of Dura Mater, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Chest Proc; Pleura Needle Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00522","description":"Anesthesia, Closed Chest Proc; Pleura Needle Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Dura Mater, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00524","description":"Destruction of Dura Mater, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for Closed Chest Procedures; Mediastinoscopy and Diagnostic Thoracoscopy Utilizing One Lung Ventilation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00529","description":"Anesthesia for Closed Chest Procedures; Mediastinoscopy and Diagnostic Thoracoscopy Utilizing One Lung Ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Chest Proc; Mediastinoscopy, Dx Thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00528","description":"Anesthesia, Closed Chest Proc; Mediastinoscopy, Dx Thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Permanent Transvenous Pacemaker Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00530","description":"Anesthesia, Permanent Transvenous Pacemaker Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transvenous Insertion/Replacement, Pacing Cardioverter/Defibrillator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00534","description":"Anesthesia, Transvenous Insertion/Replacement, Pacing Cardioverter/Defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Access To Central Venous Circulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00532","description":"Anesthesia, Access To Central Venous Circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00537","description":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Tracheobronchial Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00539","description":"Anesthesia, Tracheobronchial Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00540","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; W/1 Lung Ventilation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00541","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; W/1 Lung Ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00542","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Pulm Resection W/Thoracoplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00546","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Pulm Resection W/Thoracoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Repair Trachea/Bronchi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00548","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Repair Trachea/Bronchi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":330.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Sternal Debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00550","description":"Anesthesia, Sternal Debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; W Pump Oxygenator, Under 1 Year Of Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00561","description":"Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; W Pump Oxygenator, Under 1 Year Of Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cerebral Ventricle, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00560","description":"Destruction of Cerebral Ventricle, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Heart, Pericard, & Grt Vessls, Chest; W/Pump Oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00562","description":"Anesthesia, Proc On Heart, Pericard, & Grt Vessls, Chest; W/Pump Oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":389.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cerebral Ventricle, Percutaneous Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00563","description":"Destruction of Cerebral Ventricle, Percutaneous Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for direct coronary artery bypass grafting; with pump oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00567","description":"Anesthesia for direct coronary artery bypass grafting; with pump oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Direct Coronary Artery Bypass Grafting W/O Pump Oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00566","description":"Anesthesia, Direct Coronary Artery Bypass Grafting W/O Pump Oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Cervical Spine & Cord; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00600","description":"Anesthesia, Proc, Cervical Spine & Cord; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Basal Ganglia, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00580","description":"Destruction of Basal Ganglia, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":389.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00604","description":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00625","description":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Thoracic Spine & Cord; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00620","description":"Anesthesia, Proc, Thoracic Spine & Cord; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00630","description":"Anesthesia, Proc, Lumbar Region; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00626","description":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Lumbar Sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00632","description":"Anesthesia, Proc, Lumbar Region; Lumbar Sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Manipulation, Spine, Closed Proc, Cervical/Thoracic/Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00640","description":"Anesthesia, Manipulation, Spine, Closed Proc, Cervical/Thoracic/Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Diagnostic/Therapeutic Lumbar Puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00635","description":"Anesthesia, Proc, Lumbar Region; Diagnostic/Therapeutic Lumbar Puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extensive Spine & Spinal Cord Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00670","description":"Anesthesia, Extensive Spine & Spinal Cord Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Percutaneous Liver Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00702","description":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Percutaneous Liver Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00700","description":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Posterior Abdominal Wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00730","description":"Anesthesia, Proc, Upper Posterior Abdominal Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00731","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00732","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00750","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Lumbar & Ventral, &/Or Wound Dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00752","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Lumbar & Ventral, &/Or Wound Dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Omphalocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00754","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Omphalocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Major Abdominal Blood Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00770","description":"Anesthesia, All Proc On Major Abdominal Blood Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Transabdominal Repair, Diaphragmatic Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00756","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Transabdominal Repair, Diaphragmatic Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00790","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Abd W/Laparoscopy; Partial Hepatectomy/Mgmt Liver Hemorrhage (W/O Liver Bx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00792","description":"Anesthesia, Upper Abd W/Laparoscopy; Partial Hepatectomy/Mgmt Liver Hemorrhage (W/O Liver Bx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Pancreatectomy, Partial/Total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00794","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Pancreatectomy, Partial/Total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Liver Transplant, Recipient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00796","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Liver Transplant, Recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":584.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Gastric Restrict, Morbid Obesity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00797","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Gastric Restrict, Morbid Obesity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Brain, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00800","description":"Division of Brain, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lower Anterior Abdominal Wall; Panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00802","description":"Anesthesia, Proc, Lower Anterior Abdominal Wall; Panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00811","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00812","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00813","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lower Posterior Abdominal Wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00820","description":"Anesthesia, Proc, Lower Posterior Abdominal Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00830","description":"Anesthesia, Hernia Repairs, Lower Abdomen; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen; Ventral & Incisional Hernias","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00832","description":"Anesthesia, Hernia Repairs, Lower Abdomen; Ventral & Incisional Hernias","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, <One Year Of Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00834","description":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, <One Year Of Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00840","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, Infants <37 Wks @ Birth & <50 Wks @ Surg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00836","description":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, Infants <37 Wks @ Birth & <50 Wks @ Surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00842","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Abdominoperineal Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00844","description":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Abdominoperineal Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Radical Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00846","description":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Radical Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00848","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Tubal Ligation/Transection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00851","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Tubal Ligation/Transection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00860","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Proc/Donor Nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00862","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Proc/Donor Nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Total Cystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00864","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Total Cystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00865","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Adrenalectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00866","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Adrenalectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00868","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cerebral Hemisphere, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00870","description":"Division of Cerebral Hemisphere, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Lithotripsy, Extracorporeal Shock Wave; W/Water Bath","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00872","description":"Anesthesia, Lithotripsy, Extracorporeal Shock Wave; W/Water Bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cerebral Hemisphere, Percutaneous Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00873","description":"Division of Cerebral Hemisphere, Percutaneous Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Basal Ganglia, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00880","description":"Division of Basal Ganglia, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Lower Abdominal Vessels; Inferior Vena Cava Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00882","description":"Anesthesia, Proc On Major Lower Abdominal Vessels; Inferior Vena Cava Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Anorectal Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00902","description":"Anesthesia, Anorectal Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brain, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00904","description":"Drainage of Brain, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vulvectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00906","description":"Anesthesia, Vulvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Perineal Prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00908","description":"Anesthesia, Perineal Prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Cerebral Meninges, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00910","description":"Drainage of Cerebral Meninges, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Transurethral Resection, Bladder Tumor(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00912","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Transurethral Resection, Bladder Tumor(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Cerebral Meninges, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00914","description":"Drainage of Cerebral Meninges, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Post Transurethral Resection Bleeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00916","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Post Transurethral Resection Bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); W/Fragmentation/Manip/Rem, Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00918","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); W/Fragmentation/Manip/Rem, Ureteral Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Dura Mater, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00920","description":"Drainage of Dura Mater, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia (W/Open Urethral Proc); Vasectomy, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00921","description":"Anesthesia, Proc, Male Genitalia (W/Open Urethral Proc); Vasectomy, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Seminal Vesicles","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00922","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Seminal Vesicles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Dura Mater, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00924","description":"Drainage of Dura Mater, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Inguinal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00926","description":"Nesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Inguinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00928","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Epidural Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00930","description":"Drainage of Intracranial Epidural Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Complete Amputation, Penis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00932","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Complete Amputation, Penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Epidural Space, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00934","description":"Drainage of Intracranial Epidural Space, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Rad Amput Penis W/Bilat Inguin & Iliac Nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00936","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Rad Amput Penis W/Bilat Inguin & Iliac Nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Penis Prosthesis Insert, Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00938","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Penis Prosthesis Insert, Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subdural Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00940","description":"Drainage of Intracranial Subdural Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Colpotomy, Vaginectomy, Colporrhaphy & Open Urethral Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00942","description":"Anesthesia, Vaginal Proc, W/Bx; Colpotomy, Vaginectomy, Colporrhaphy & Open Urethral Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subdural Space, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00944","description":"Drainage of Intracranial Subdural Space, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Cervical Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00948","description":"Anesthesia, Vaginal Proc, W/Bx; Cervical Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subarachnoid Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00950","description":"Drainage of Intracranial Subarachnoid Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Hysteroscopy &/Or Hysterosalpingography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00952","description":"Anesthesia, Vaginal Proc, W/Bx; Hysteroscopy &/Or Hysterosalpingography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Bone Marrow Aspiration &/Or Bx, Anterior/Posterior Iliac Crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01112","description":"Anesthesia, Bone Marrow Aspiration &/Or Bx, Anterior/Posterior Iliac Crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Bony Pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01120","description":"Anesthesia, Proc, Bony Pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Body Cast Application/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01130","description":"Anesthesia, Body Cast Application/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Interpelviabdominal (Hindquarter) Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01140","description":"Anesthesia, Interpelviabdominal (Hindquarter) Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Radical Proc, Tumor, Pelvis, Except Hindquarter Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01150","description":"Anesthesia, Radical Proc, Tumor, Pelvis, Except Hindquarter Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Proc Involving Symphysis Pubis/Sacroiliac Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01160","description":"Anesthesia, Closed Proc Involving Symphysis Pubis/Sacroiliac Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Symphysis Pubis/Sacroiliac Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01170","description":"Anesthesia, Open Proc Involving Symphysis Pubis/Sacroiliac Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc Involving Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01200","description":"Anesthesia, All Closed Proc Involving Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for Open Repair of Fracture Disruption of Pelvis or Column Fracture Involving Acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01173","description":"Anesthesia for Open Repair of Fracture Disruption of Pelvis or Column Fracture Involving Acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arthroscopic Proc, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01202","description":"Anesthesia, Arthroscopic Proc, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01210","description":"Anesthesia, Open Proc Involving Hip Joint; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Hip Disarticulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01212","description":"Anesthesia, Open Proc Involving Hip Joint; Hip Disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Total Hip Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01214","description":"Anesthesia, Open Proc Involving Hip Joint; Total Hip Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc Involving Upper Two Thirds, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01220","description":"Anesthesia, All Closed Proc Involving Upper Two Thirds, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Revision, Total Hip Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01215","description":"Anesthesia, Open Proc Involving Hip Joint; Revision, Total Hip Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01230","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01232","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01234","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Nerves, Muscles, Tendons, Fascia, & Bursae, Upper Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01250","description":"Anesthesia, All Proc On Nerves, Muscles, Tendons, Fascia, & Bursae, Upper Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc Involving Veins, Upper Leg, W/Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01260","description":"Anesthesia, All Proc Involving Veins, Upper Leg, W/Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01270","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01274","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01272","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves, Muscles, Tendons, Fascia & Bursae, Knee &/Or Popliteal Area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01320","description":"Anesthesia, Nerves, Muscles, Tendons, Fascia & Bursae, Knee &/Or Popliteal Area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Lower One Third, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01340","description":"Anesthesia, All Closed Proc On Lower One Third, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Open Proc On Lower One Third, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01360","description":"Anesthesia, All Open Proc On Lower One Third, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01380","description":"Anesthesia, All Closed Proc On Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01382","description":"Anesthesia, Dx Arthroscopic Proc, Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Upper Ends, Tibia, Fibula, &/Or Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01390","description":"Anesthesia, All Closed Proc On Upper Ends, Tibia, Fibula, &/Or Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Open Proc On Upper Ends, Tibia, Fibula, &/Or Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01392","description":"Anesthesia, All Open Proc On Upper Ends, Tibia, Fibula, &/Or Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01400","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Total Knee Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01402","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Total Knee Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Disarticulation At Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01404","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Disarticulation At Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Cast Applications, Removal/Repair Involving Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01420","description":"Anesthesia, All Cast Applications, Removal/Repair Involving Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01430","description":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Arteriovenous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01432","description":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Arteriovenous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01440","description":"Anesthesia, Arteries, Knee & Popliteal Area; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Thromboendarterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01442","description":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Thromboendarterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Excision & Graft/Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01444","description":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Excision & Graft/Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc, Lower Leg, Ankle, & Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01462","description":"Anesthesia, All Closed Proc, Lower Leg, Ankle, & Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arthroscopic Proc, Ankle &/Or Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01464","description":"Anesthesia, Arthroscopic Proc, Ankle &/Or Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01470","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Ruptured Achilles Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01472","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Ruptured Achilles Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Gastrocnemius Recession","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01474","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Gastrocnemius Recession","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01480","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg,Ankle & Foot; Radical Resection W/Below Knee Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01482","description":"Anesthesia, Open Proc, Bones, Lower Leg,Ankle & Foot; Radical Resection W/Below Knee Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01484","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Total Ankle Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01486","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Total Ankle Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Lower Leg Cast Application, Removal/Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01490","description":"Anesthesia, Lower Leg Cast Application, Removal/Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cervical Plexus, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01500","description":"Destruction of Cervical Plexus, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01502","description":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Phrenic Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01520","description":"Destruction of Phrenic Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Lower Leg; Venous Thrombectomy, Direct/W/Catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01522","description":"Anesthesia, Proc On Veins, Lower Leg; Venous Thrombectomy, Direct/W/Catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Shoulder/Axilla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01610","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Shoulder/Axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Proc, Humeral Head & Neck/Sternoclavicular Joint/Ac Joint/Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01620","description":"Anesthesia, Closed Proc, Humeral Head & Neck/Sternoclavicular Joint/Ac Joint/Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Shoulder Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01622","description":"Anesthesia, Dx Arthroscopic Proc, Shoulder Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01630","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Disarticul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01634","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Disarticul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesth, Open/Surg Arthroscop Proc, Humer Head & Neck, Sternoclav/Ac/Should Jt; Intrthoracoscap Amput","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01636","description":"Anesth, Open/Surg Arthroscop Proc, Humer Head & Neck, Sternoclav/Ac/Should Jt; Intrthoracoscap Amput","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01638","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01650","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Brachial Aneurysm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01652","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Brachial Aneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Bypass Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01654","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Bypass Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Femoral Bypass Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01656","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Femoral Bypass Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Veins, Shoulder & Axilla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01670","description":"Anesthesia, All Proc On Veins, Shoulder & Axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Shoulder Cast Application, Removal/Repair; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01680","description":"Anesthesia, Shoulder Cast Application, Removal/Repair; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01710","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenotomy Elbow-Shoulder, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01712","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenotomy Elbow-Shoulder, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenoplasty, Elbow-Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01714","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenoplasty, Elbow-Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerve/Muscl/Tendon/Fascia & Bursae, Upper Arm & Elbow; Tenodesis, Rupt Lng Biceps Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01716","description":"Anesthesia, Nerve/Muscl/Tendon/Fascia & Bursae, Upper Arm & Elbow; Tenodesis, Rupt Lng Biceps Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Humerus & Elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01730","description":"Anesthesia, All Closed Proc On Humerus & Elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Elbow Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01732","description":"Anesthesia, Dx Arthroscopic Proc, Elbow Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01740","description":"Anesthesia, Open/Surg Arthroscopic Proc, Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Osteotomy, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01742","description":"Anesthesia, Open Proc On Humerus & Elbow; Osteotomy, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Repair, Nonunion/Malunion, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01744","description":"Anesthesia, Open Proc On Humerus & Elbow; Repair, Nonunion/Malunion, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Radical Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01756","description":"Anesthesia, Open Proc On Humerus & Elbow; Radical Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Excision, Cyst/Tumor, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01758","description":"Anesthesia, Open Proc On Humerus & Elbow; Excision, Cyst/Tumor, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Total Elbow Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01760","description":"Anesthesia, Open Proc On Humerus & Elbow; Total Elbow Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01770","description":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01772","description":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01780","description":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Phleborrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01782","description":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Phleborrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cervical Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01810","description":"Division of Cervical Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Phrenic Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01820","description":"Division of Phrenic Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Procedures, Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01829","description":"Anesthesia, Dx Arthroscopic Procedures, Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Brachial Plexus, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01830","description":"Division of Brachial Plexus, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Open/Surg Arthrosc/Endoscop Proc, Distl Radius/Distal Ulna/Wrist/Hand; Total Wrist Replace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01832","description":"Anes, Open/Surg Arthrosc/Endoscop Proc, Distl Radius/Distal Ulna/Wrist/Hand; Total Wrist Replace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Ulnar Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01840","description":"Division of Ulnar Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01842","description":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Ulnar Nerve, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01844","description":"Division of Ulnar Nerve, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Median Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01850","description":"Division of Median Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Forearm, Wrist, & Hand; Phleborrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01852","description":"Anesthesia, Proc On Veins, Forearm, Wrist, & Hand; Phleborrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Radial Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01860","description":"Division of Radial Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arteriography/Venography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01916","description":"Anesthesia, Dx Arteriography/Venography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Phrenic Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01920","description":"Drainage of Phrenic Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01922","description":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Phrenic Nerve, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01924","description":"Drainage of Phrenic Nerve, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Carotid/Coronary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01925","description":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Carotid/Coronary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Intracranial/Intracardiac/Aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01926","description":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Intracranial/Intracardiac/Aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brachial Plexus, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01930","description":"Drainage of Brachial Plexus, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Therap Interven Radiol, Venous/Lymphatic Sys W/O Central Circ Access; Intrahepatic/Portal Circ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01931","description":"Anes, Therap Interven Radiol, Venous/Lymphatic Sys W/O Central Circ Access; Intrahepatic/Portal Circ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Therap Interven Radiol, Venous/Lymphatic System W/O Central Circ Access; Intrathoracic/Jugular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01932","description":"Anes, Therap Interven Radiol, Venous/Lymphatic System W/O Central Circ Access; Intrathoracic/Jugular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brachial Plexus, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01933","description":"Drainage of Brachial Plexus, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01937","description":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01938","description":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01939","description":"Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Ulnar Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01940","description":"Drainage of Ulnar Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01941","description":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01942","description":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia 2nd & 3rd Degree Burn Excision/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; <4% Tbsa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01951","description":"Anesthesia 2nd & 3rd Degree Burn Excision/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; <4% Tbsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia 2nd & 3rd Degree Burn Excis/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; 4-9% Tbsa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01952","description":"Anesthesia 2nd & 3rd Degree Burn Excis/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; 4-9% Tbsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Median Nerve, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01953","description":"Drainage of Median Nerve, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for External Cephalic Version Procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01958","description":"Anesthesia for External Cephalic Version Procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Radial Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01960","description":"Drainage of Radial Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Cesarean Delivery Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01961","description":"Anesthesia For Cesarean Delivery Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Urgent Hysterectomy Following Delivery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01962","description":"Anesthesia For Urgent Hysterectomy Following Delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Radial Nerve, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01963","description":"Drainage of Radial Nerve, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for incomplete or missed abortion procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01965","description":"Anesthesia for incomplete or missed abortion procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for induced abortion procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01966","description":"Anesthesia for induced abortion procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neuraxial Labor Analgesia/Anesthesia, Planned Vaginal Delivery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01967","description":"Neuraxial Labor Analgesia/Anesthesia, Planned Vaginal Delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01968","description":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes For Cesarean Hysterectomy Following Neuraxial Labor Analgesia/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01969","description":"Anes For Cesarean Hysterectomy Following Neuraxial Labor Analgesia/Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Physiological Support, Harvesting, Organ(S), Brain-Dead Patient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01990","description":"Physiological Support, Harvesting, Organ(S), Brain-Dead Patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Not In Prone Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01991","description":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Not In Prone Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Prone Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01992","description":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Prone Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Daily Hospital Management, Epidural/Subarachnoid Continuous Drug Administration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01996","description":"Daily Hospital Management, Epidural/Subarachnoid Continuous Drug Administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0213T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0214T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0216T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0217T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0218T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj ocular telescope prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0308T","description":"Insj ocular telescope prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0620T","description":"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy ab interno by laser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0621T","description":"Trabeculostomy ab interno by laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy ab interno by laser; with use of ophthalmic endoscope","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0622T","description":"Trabeculostomy ab interno by laser; with use of ophthalmic endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0661T","description":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0671T","description":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, posterior chamber of eye, medication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0699T","description":"Injection, posterior chamber of eye, medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0717T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0707T","description":"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular device implantation, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0725T","description":"Vestibular device implantation, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0726T","description":"Removal of implanted vestibular device, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of implanted vestibular device, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0727T","description":"Removal and replacement of implanted vestibular device, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant, unilateral; with initial programming","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0728T","description":"Diagnostic analysis of vestibular implant, unilateral; with initial programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant, unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant, unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0730T","description":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0857T","description":"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0876T","description":"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0869T","description":"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0882T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0888T","description":"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"10035","description":"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11450","description":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11451","description":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/Complex Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11462","description":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11463","description":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of tissue expander with permanent implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11970","description":"Replacement of tissue expander with permanent implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tissue expander without insertion of implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11971","description":"Removal of tissue expander without insertion of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15777","description":"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, lower eyelid;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15820","description":"Blepharoplasty, lower eyelid;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, lower eyelid; with extensive herniated fat pad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15821","description":"Blepharoplasty, lower eyelid; with extensive herniated fat pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, upper eyelid;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15822","description":"Blepharoplasty, upper eyelid;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, upper eyelid; with excessive skin weighting down lid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15823","description":"Blepharoplasty, upper eyelid; with excessive skin weighting down lid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; forehead","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15824","description":"Rhytidectomy; forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15825","description":"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; glabellar frown lines","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15826","description":"Rhytidectomy; glabellar frown lines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; cheek, chin, and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15828","description":"Rhytidectomy; cheek, chin, and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15829","description":"Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15833","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15834","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); arm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15836","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suction assisted lipectomy; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15878","description":"Suction assisted lipectomy; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suction assisted lipectomy; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15879","description":"Suction assisted lipectomy; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastotomy with exploration or drainage of abscess, deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19020","description":"Mastotomy with exploration or drainage of abscess, deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure only for mammary ductogram or galactogram","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19030","description":"Injection procedure only for mammary ductogram or galactogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19081","description":"Bx breast 1st lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19083","description":"Bx breast 1st lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Breast; Percut, Needle Core, Not Using Imaging Guidance (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19100","description":"Bx, Breast; Percut, Needle Core, Not Using Imaging Guidance (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Breast; Open Incisional","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19101","description":"Bx, Breast; Open Incisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurg ablate fa each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19105","description":"Cryosurg ablate fa each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19110","description":"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lactiferous Duct Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19112","description":"Excision, Lactiferous Duct Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19120","description":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Breast Lesion, Preop Placement, Radiological Marker, Open; Single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19125","description":"Excision, Breast Lesion, Preop Placement, Radiological Marker, Open; Single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19281","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19283","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19285","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fir","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19287","description":"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application follow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19296","description":"Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application follow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the tim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19298","description":"Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the tim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19300","description":"Removal of breast tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial mastectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19301","description":"Partial mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast augmentation with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19325","description":"Breast augmentation with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intact breast implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19328","description":"Removal of intact breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19330","description":"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of breast implant on same day of mastectomy (ie, immediate)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19340","description":"Insertion of breast implant on same day of mastectomy (ie, immediate)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of breast implant on separate day from mastectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19342","description":"Insertion or replacement of breast implant on separate day from mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nipple/areola reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19350","description":"Nipple/areola reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Inverted Nipples","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19355","description":"Correction, Inverted Nipples","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19370","description":"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19371","description":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19380","description":"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation, Moulage, Custom Breast Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19396","description":"Preparation, Moulage, Custom Breast Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, breast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19499","description":"Unlisted procedure, breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ther injection carp tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20526","description":"Ther injection carp tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20527","description":"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20550","description":"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20600","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20604","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20605","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20610","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20611","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Halo, W/Removal; Femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20663","description":"Application, Halo, W/Removal; Femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20939","description":"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, percutaneous, including computed tomographic g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20982","description":"Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, percutaneous, including computed tomographic g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20983","description":"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, temporomandibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21010","description":"Arthrotomy, temporomandibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21030","description":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21031","description":"Remove exostosis mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Condylectomy, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21050","description":"Condylectomy, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronoidectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21070","description":"Coronoidectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mnpj of tmj w/anesth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21073","description":"Mnpj of tmj w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21077","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21086","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for temporomandibular joint arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21116","description":"Injection procedure for temporomandibular joint arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Medial canthopexy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21280","description":"Medial canthopexy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lateral canthopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21282","description":"Lateral canthopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Masseter Muscle/Bone; Extraoral Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21295","description":"Reduction, Masseter Muscle/Bone; Extraoral Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Masseter Muscle/Bone; Intraoral Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21296","description":"Reduction, Masseter Muscle/Bone; Intraoral Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21355","description":"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21356","description":"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21400","description":"Closed treatment of fracture of orbit, except blowout; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of temporomandibular dislocation; initial or subsequent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21480","description":"Closed treatment of temporomandibular dislocation; initial or subsequent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21485","description":"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, shoulder area; infected bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23031","description":"Incision and drainage, shoulder area; infected bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23065","description":"Bx, Soft Tissue, Shoulder Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23044","description":"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23066","description":"Bx, Soft Tissue, Shoulder Area; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, soft tissue tumor, shoulder area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23075","description":"Excision, soft tissue tumor, shoulder area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23076","description":"Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23101","description":"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23106","description":"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acromioplasty/Acromionectomy, Partial, W/Wo Coracoacromial Ligament Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23130","description":"Acromioplasty/Acromionectomy, Partial, W/Wo Coracoacromial Ligament Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23140","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23146","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23170","description":"Sequestrectomy, Clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23180","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Shoulder; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23330","description":"Removal, Fb, Shoulder; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body, shoulder; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23333","description":"Removal of foreign body, shoulder; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23334","description":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total sh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23335","description":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total sh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23350","description":"Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coracoacromial ligament release, with or without acromioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23415","description":"Coracoacromial ligament release, with or without acromioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, clavicle, with or without internal fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23480","description":"Osteotomy, clavicle, with or without internal fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of clavicular fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23500","description":"Closed treatment of clavicular fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of clavicular fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23505","description":"Closed treatment of clavicular fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of sternoclavicular dislocation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23520","description":"Closed treatment of sternoclavicular dislocation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of sternoclavicular dislocation; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23525","description":"Closed treatment of sternoclavicular dislocation; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acromioclavicular dislocation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23540","description":"Closed treatment of acromioclavicular dislocation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acromioclavicular dislocation; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23545","description":"Closed treatment of acromioclavicular dislocation; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of scapular fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23570","description":"Closed treatment of scapular fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder jo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23575","description":"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23600","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23605","description":"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23620","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of greater humeral tuberosity fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23625","description":"Closed treatment of greater humeral tuberosity fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with manipulation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23650","description":"Closed treatment of shoulder dislocation, with manipulation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23655","description":"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23665","description":"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23675","description":"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23700","description":"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder; Secondary Closure/Scar Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23921","description":"Disarticulation, Shoulder; Secondary Closure/Scar Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, upper arm or elbow area; bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23931","description":"Incision and drainage, upper arm or elbow area; bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, upper arm or elbow area; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23930","description":"Incision and drainage, upper arm or elbow area; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23935","description":"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24000","description":"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24065","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24066","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24075","description":"Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24076","description":"Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, olecranon bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24105","description":"Excision, olecranon bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24110","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24120","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, radial head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24130","description":"Excision, radial head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Radial Head/Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24136","description":"Sequestrectomy, Radial Head/Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24145","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24147","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implant removal; elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24160","description":"Implant removal; elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implant removal; radial head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24164","description":"Implant removal; radial head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Upper Arm/Elbow Area; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24200","description":"Removal, Fb, Upper Arm/Elbow Area; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for elbow arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24220","description":"Injection procedure for elbow arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, elbow, under anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24300","description":"Manipulation, elbow, under anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Upper Arm/Elbow Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24201","description":"Removal, Fb, Upper Arm/Elbow Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, triceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24332","description":"Tenolysis, triceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24357","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24358","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24359","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm, with brachial artery exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24495","description":"Decompression fasciotomy, forearm, with brachial artery exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons(through separate incision(s))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27681","description":"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons(through separate incision(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral shaft fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24500","description":"Closed treatment of humeral shaft fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24505","description":"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Multiple Tendons, Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27686","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Multiple Tendons, Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24530","description":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24535","description":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extensi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24538","description":"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extensi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, disrupted ligament, ankle; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27695","description":"Repair, primary, disrupted ligament, ankle; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24565","description":"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24566","description":"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, disrupted ligament, ankle; both collateral ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27696","description":"Repair, primary, disrupted ligament, ankle; both collateral ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24577","description":"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24576","description":"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24582","description":"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ankle Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27704","description":"Removal, Ankle Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Vascular Pedicle, Carpal Bone (Harii Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25430","description":"Insertion, Vascular Pedicle, Carpal Bone (Harii Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24605","description":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Closed Elbow Dislocation; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24600","description":"Treatment, Closed Elbow Dislocation; W/O Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27707","description":"Osteotomy; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24560","description":"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24620","description":"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24640","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24650","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial head or neck fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24655","description":"Closed treatment of radial head or neck fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24670","description":"Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24675","description":"Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25445","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of fibula nonunion and/or malunion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27726","description":"Repair of fibula nonunion and/or malunion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25450","description":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27730","description":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27732","description":"Arrest, epiphyseal (epiphysiodesis), open; distal fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27734","description":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25455","description":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25500","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25505","description":"Closed treatment of radial shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27750","description":"Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeleta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27752","description":"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeleta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Stump elongation, upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24935","description":"Stump elongation, upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25520","description":"Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24999","description":"Unlisted procedure, humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, extensor tendon sheath, wrist (eg, deQuervains disease)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25000","description":"Incision, extensor tendon sheath, wrist (eg, deQuervains disease)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25001","description":"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25023","description":"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist; flexor OR extensor compartment; without debridement of nonviable muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25020","description":"Decompression fasciotomy, forearm and/or wrist; flexor OR extensor compartment; without debridement of nonviable muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of medial malleolus fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27760","description":"Closed treatment of medial malleolus fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25530","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27762","description":"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25024","description":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25025","description":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25535","description":"Closed treatment of ulnar shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of medial malleolus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27766","description":"Open treatment of medial malleolus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, forearm and/or wrist; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25028","description":"Incision and drainage, forearm and/or wrist; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior malleolus fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27768","description":"Closed treatment of posterior malleolus fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27767","description":"Cltx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, forearm and/or wrist; bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25031","description":"Incision and drainage, forearm and/or wrist; bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25560","description":"Treat fracture radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior malleolus fracture, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27769","description":"Open treatment of posterior malleolus fracture, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25035","description":"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25040","description":"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal fibula or shaft fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27780","description":"Closed treatment of proximal fibula or shaft fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25065","description":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Forearm &/Or Wrist; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25066","description":"Bx, Soft Tissue, Forearm &/Or Wrist; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial and ulnar shaft fractures; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25565","description":"Closed treatment of radial and ulnar shaft fractures; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal fibula or shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27781","description":"Closed treatment of proximal fibula or shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal fibular fracture (lateral malleolus); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27786","description":"Closed treatment of distal fibular fracture (lateral malleolus); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal fibula or shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27784","description":"Open treatment of proximal fibula or shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal fibular fracture (lateral malleolus); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27788","description":"Closed treatment of distal fibular fracture (lateral malleolus); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27792","description":"Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of bimalleolar ankle fracture, (including Potts); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27808","description":"Closed treatment of bimalleolar ankle fracture, (including Potts); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27810","description":"Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25600","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"TREAT FX DISTAL RADIAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25606","description":"TREAT FX DISTAL RADIAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25605","description":"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25075","description":"Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25076","description":"Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trimalleolar ankle fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27816","description":"Closed treatment of trimalleolar ankle fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trimalleolar ankle fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27818","description":"Closed treatment of trimalleolar ankle fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25622","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25100","description":"Arthrotomy, wrist joint; with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign bod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25101","description":"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign bod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpal scaphoid (navicular) fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25624","description":"Closed treatment of carpal scaphoid (navicular) fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25105","description":"Arthrotomy, wrist joint; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27825","description":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27824","description":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25630","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tendon, forearm and/or wrist, flexor or extensor, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25109","description":"Excision of tendon, forearm and/or wrist, flexor or extensor, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); with manipulation, each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25635","description":"Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); with manipulation, each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, lesion of tendon sheath, forearm and/or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25110","description":"Excision, lesion of tendon sheath, forearm and/or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ganglion, Wrist (Dorsal/Volar); Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25111","description":"Excision, Ganglion, Wrist (Dorsal/Volar); Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ganglion, Wrist (Dorsal/Volar); Recurrent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25112","description":"Excision, Ganglion, Wrist (Dorsal/Volar); Recurrent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25115","description":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25116","description":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25118","description":"Synovectomy, extensor tendon sheath, wrist, single compartment;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25650","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25651","description":"Percutaneous skeletal fixation of ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25652","description":"Open treatment of ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25660","description":"Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25120","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27831","description":"Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal tibiofibular joint dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27830","description":"Closed treatment of proximal tibiofibular joint dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25130","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of distal radioulnar dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25671","description":"Percutaneous skeletal fixation of distal radioulnar dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal radioulnar dislocation with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25675","description":"Closed treatment of distal radioulnar dislocation with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25680","description":"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27842","description":"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of lunate dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25690","description":"Closed treatment of lunate dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ankle dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27840","description":"Closed treatment of ankle dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25150","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, Ankle Under General Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27860","description":"Manipulation, Ankle Under General Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radial styloidectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25230","description":"Radial styloidectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for wrist arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25246","description":"Injection procedure for wrist arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision distal ulna partial or complete (eg, Darrach type or matched resection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25240","description":"Excision distal ulna partial or complete (eg, Darrach type or matched resection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration with removal of deep foreign body, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25248","description":"Exploration with removal of deep foreign body, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25900","description":"Amputation, forearm, through radius and ulna;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, wrist, under anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25259","description":"Manipulation, wrist, under anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25275","description":"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27882","description":"Amputation, leg, through tibia and fibula; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27884","description":"Amputation, leg, through tibia and fibula; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27886","description":"Amputation, leg, through tibia and fibula; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25920","description":"Disarticulation through wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ankle disarticulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27889","description":"Ankle disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or ne","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27892","description":"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or ne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25927","description":"Transmetacarpal amputation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27893","description":"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, leg or ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27899","description":"Unlisted procedure, leg or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, foot and/or toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28008","description":"Fasciotomy, foot and/or toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release, tarsal tunnel (posterior tibial nerve decompression)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28035","description":"Release, tarsal tunnel (posterior tibial nerve decompression)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25931","description":"Transmetacarpal amputation; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25999","description":"Unlisted procedure, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Palmar Bursa; Multiple Bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26030","description":"Drainage, Palmar Bursa; Multiple Bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Palmar Bursa; Single, Bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26025","description":"Drainage, Palmar Bursa; Single, Bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive fasciotomy, hand (excludes 26035)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26037","description":"Decompressive fasciotomy, hand (excludes 26035)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25337","description":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26040","description":"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28041","description":"\"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26045","description":"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26070","description":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, foot; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28043","description":"Excision, tumor, foot; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, foot; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28045","description":"Excision, tumor, foot; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26075","description":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28046","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; carpometacarpal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26100","description":"Arthrotomy with biopsy; carpometacarpal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; metacarpophalangeal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26105","description":"Arthrotomy with biopsy; metacarpophalangeal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with&nbsp;biopsy; intertarsal or tarsometatarsal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28050","description":"Arthrotomy with&nbsp;biopsy; intertarsal or tarsometatarsal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with&nbsp;biopsy; metatarsophalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28052","description":"Arthrotomy with&nbsp;biopsy; metatarsophalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, intrinsic musculature of foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28055","description":"Neurectomy, intrinsic musculature of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; interphalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28054","description":"Arthrotomy with biopsy; interphalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, plantar fascia; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28060","description":"Fasciectomy, plantar fascia; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-pla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26123","description":"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, plantar fascia; radical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28062","description":"Fasciectomy, plantar fascia; radical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26121","description":"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, carpometacarpal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26130","description":"Synovectomy, carpometacarpal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; extensor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28088","description":"Synovectomy, tendon sheath, foot; extensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule; Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28090","description":"Excision, Lesion, Tendon Sheath/Capsule; Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, finger joint, under anesthesia, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26340","description":"Manipulation, finger joint, under anesthesia, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, carpal bone, shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25394","description":"Osteoplasty, carpal bone, shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28110","description":"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25400","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; first metatarsal head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28111","description":"Ostectomy, complete excision; first metatarsal head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25405","description":"Repair, Nonunion/Malunion, Radius/Ulna; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; other metatarsal head (second, third or fourth)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28112","description":"Ostectomy, complete excision; other metatarsal head (second, third or fourth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; fifth metatarsal head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28113","description":"Ostectomy, complete excision; fifth metatarsal head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25415","description":"Repair, Nonunion/Malunion, Radius & Ulna; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25420","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, excision of tarsal coalition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28116","description":"Ostectomy, excision of tarsal coalition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus; for spur, with or without plantar fascial release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28119","description":"Ostectomy, calcaneus; for spur, with or without plantar fascial release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28120","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Vascular Pedicle, Carpal Bone (Harii Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25430","description":"Insertion, Vascular Pedicle, Carpal Bone (Harii Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25426","description":"Repair/graft radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28124","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25431","description":"Repair, Nonunion, Carpal Bone (Excl Carpal Scaphoid) (Inc Obtaining Graft & Fixation), Each Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28192","description":"Removal, Fb, Foot; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28190","description":"Removal, Fb, Foot; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28193","description":"Removal, Fb, Foot; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor, foot; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28220","description":"Tenolysis, flexor, foot; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26341","description":"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor, foot; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28222","description":"Tenolysis, flexor, foot; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release, Thenar Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26508","description":"Release, Thenar Muscle(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, extensor, foot; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28226","description":"Tenolysis, extensor, foot; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25445","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, extensor, foot; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28225","description":"Tenolysis, extensor, foot; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; single digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26516","description":"Capsulodesis, metacarpophalangeal joint; single digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28230","description":"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, lengthening, or release, abductor hallucis muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28240","description":"Tenotomy, lengthening, or release, abductor hallucis muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25447","description":"Arthroplasty, interposition, intercarpal or carpometacarpal joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25450","description":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25455","description":"Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25449","description":"Revision, Arthroplasty, W/Removal, Implant, Wrist Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; with tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28261","description":"Capsulotomy, midfoot; with tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28270","description":"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25500","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25505","description":"Closed treatment of radial shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release of toe joint each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28272","description":"Release of toe joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25492","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Syndactylization, toes (eg, webbing or Kelikian type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28280","description":"Syndactylization, toes (eg, webbing or Kelikian type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28285","description":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28286","description":"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25515","description":"Open treatment of radial shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25520","description":"Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25525","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25526","description":"Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, with or without inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25530","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25535","description":"Closed treatment of ulnar shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius &amp; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25560","description":"Treat fracture radius &amp; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial and ulnar shaft fractures; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25565","description":"Closed treatment of radial and ulnar shaft fractures; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25545","description":"Open treatment of ulnar shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25574","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25600","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25575","description":"Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25605","description":"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"TREAT FX DISTAL RADIAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25606","description":"TREAT FX DISTAL RADIAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26645","description":"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26650","description":"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25622","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpal scaphoid (navicular) fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25624","description":"Closed treatment of carpal scaphoid (navicular) fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external f","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26665","description":"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25630","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); with manipulation, each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25635","description":"Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); with manipulation, each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25628","description":"Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26841","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25645","description":"Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28307","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25650","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25651","description":"Percutaneous skeletal fixation of ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25652","description":"Open treatment of ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25660","description":"Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus f","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28309","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of distal radioulnar dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25671","description":"Percutaneous skeletal fixation of distal radioulnar dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25670","description":"Open treatment of radiocarpal or intercarpal dislocation, one or more bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28310","description":"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal radioulnar dislocation with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25675","description":"Closed treatment of distal radioulnar dislocation with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, first toe (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28315","description":"Sesamoidectomy, first toe (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal radioulnar dislocation, acute or chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25676","description":"Open treatment of distal radioulnar dislocation, acute or chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, percutaneous (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27000","description":"Tenotomy, adductor of hip, percutaneous (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, toe(s); polydactyly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28344","description":"Reconstruction, toe(s); polydactyly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trans-scaphoperilunar type of fracture dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25685","description":"Open treatment of trans-scaphoperilunar type of fracture dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of lunate dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25690","description":"Closed treatment of lunate dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of calcaneal fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28400","description":"Closed treatment of calcaneal fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of lunate dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25695","description":"Open treatment of lunate dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of calcaneal fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28405","description":"Closed treatment of calcaneal fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of calcaneal fracture, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28406","description":"Percutaneous skeletal fixation of calcaneal fracture, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, hip or thigh, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27025","description":"Fasciotomy, hip or thigh, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25810","description":"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27027","description":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with sliding graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25805","description":"Arthrodesis, wrist; with sliding graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28430","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of talus fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28435","description":"Closed treatment of talus fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25820","description":"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28490","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28495","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28496","description":"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, wrist; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25825","description":"Arthrodesis, wrist; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25830","description":"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Pelvis & Hip Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27040","description":"Bx, Soft Tissue, Pelvis & Hip Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25900","description":"Amputation, forearm, through radius and ulna;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28505","description":"Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sesamoid fracture, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28531","description":"Open treatment of sesamoid fracture, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27041","description":"Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27043","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28540","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28546","description":"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27047","description":"Excision, tumor, pelvis and hip area; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28570","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of talotarsal joint dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28575","description":"Closed treatment of talotarsal joint dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28576","description":"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27050","description":"Arthrotomy, with biopsy; sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25680","description":"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27057","description":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25905","description":"Amputation, forearm, through radius and ulna; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision; ischial bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27060","description":"Excision; ischial bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25907","description":"Amputation, forearm, through radius and ulna; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision; trochanteric bursa or calcification","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27062","description":"Excision; trochanteric bursa or calcification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, forearm, through radius and ulna; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25909","description":"Amputation, forearm, through radius and ulna; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Krukenberg procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25915","description":"Krukenberg procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25920","description":"Disarticulation through wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25922","description":"Disarticulation through wrist; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation through wrist; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25924","description":"Disarticulation through wrist; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25927","description":"Transmetacarpal amputation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28750","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25929","description":"Transmetacarpal amputation; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmetacarpal amputation; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25931","description":"Transmetacarpal amputation; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, great toe; interphalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28755","description":"Arthrodesis, great toe; interphalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25999","description":"Unlisted procedure, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Palmar Bursa; Single, Bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26025","description":"Drainage, Palmar Bursa; Single, Bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Palmar Bursa; Multiple Bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26030","description":"Drainage, Palmar Bursa; Multiple Bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive fasciotomy, hand (excludes 26035)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26037","description":"Decompressive fasciotomy, hand (excludes 26035)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26040","description":"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26045","description":"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26070","description":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26075","description":"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; carpometacarpal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26100","description":"Arthrotomy with biopsy; carpometacarpal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; transmetatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28805","description":"Amputation, foot; transmetatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hi enrgy eswt plantar fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28890","description":"Hi enrgy eswt plantar fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; metacarpophalangeal joint, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26105","description":"Arthrotomy with biopsy; metacarpophalangeal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, cast; shoulder to hand (long arm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29065","description":"Application, cast; shoulder to hand (long arm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, cast; elbow to finger (short arm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29075","description":"Application, cast; elbow to finger (short arm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Subq Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27086","description":"Removal, Fb, Pelvis/Hip; Subq Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply hand/wrist cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29085","description":"Apply hand/wrist cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26111","description":"\"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply finger cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29086","description":"Apply finger cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29126","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Finger Splint; Static","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29130","description":"Application, Finger Splint; Static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Finger Splint; Dynamic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29131","description":"Application, Finger Splint; Dynamic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; shoulder (eg, Velpeau)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29240","description":"Strapping; shoulder (eg, Velpeau)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26113","description":"\"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; elbow or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29260","description":"Strapping; elbow or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26118","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; hand or finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29280","description":"Strapping; hand or finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Cast (Thigh To Toes);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29345","description":"Application, Long Leg Cast (Thigh To Toes);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26121","description":"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-pla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26123","description":"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29355","description":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply long leg cast brace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29358","description":"Apply long leg cast brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Cylinder Cast (Thigh To Ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29365","description":"Application, Cylinder Cast (Thigh To Ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, carpometacarpal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26130","description":"Synovectomy, carpometacarpal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29405","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29425","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29435","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, thumb or finger (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26185","description":"Sesamoidectomy, thumb or finger (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26260","description":"Radical resection, proximal or middle phalanx of finger (eg, tumor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Addition of walker to cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29440","description":"Addition of walker to cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply rigid leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29445","description":"Apply rigid leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35271","description":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35271","description":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35271","description":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35271","description":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35271","description":"Repair blood vessel with graft other than vein; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Clubfoot Cast W/Molding/Manipulation, Long/Short Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29450","description":"Application, Clubfoot Cast W/Molding/Manipulation, Long/Short Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection, distal phalanx of finger (eg, tumor)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26262","description":"Radical resection, distal phalanx of finger (eg, tumor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Splint (Thigh To Ankle/Toes)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29505","description":"Application, Long Leg Splint (Thigh To Ankle/Toes)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Short Leg Splint (Calf To Foot)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29515","description":"Application, Short Leg Splint (Calf To Foot)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35276","description":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35276","description":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35276","description":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35276","description":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35276","description":"Repair blood vessel with graft other than vein; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, finger joint, under anesthesia, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26340","description":"Manipulation, finger joint, under anesthesia, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26341","description":"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29520","description":"Strapping; hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29530","description":"Strapping; knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35281","description":"Repair blood vessel with graft other than vein; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35281","description":"Repair blood vessel with graft other than vein; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; ankle and/or foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29540","description":"Strapping; ankle and/or foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35281","description":"Repair blood vessel with graft other than vein; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35281","description":"Repair blood vessel with graft other than vein; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35281","description":"Repair blood vessel with graft other than vein; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26352","description":"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; toes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29550","description":"Strapping; toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; Unna boot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29580","description":"Strapping; Unna boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26357","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without fre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35286","description":"Repair blood vessel with graft other than vein; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35286","description":"Repair blood vessel with graft other than vein; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35286","description":"Repair blood vessel with graft other than vein; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35286","description":"Repair blood vessel with graft other than vein; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35286","description":"Repair blood vessel with graft other than vein; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multi-layer compression system; upper arm, forearm, hand, and fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29584","description":"Application of multi-layer compression system; upper arm, forearm, hand, and fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29705","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26358","description":"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35301","description":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35301","description":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35301","description":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35301","description":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29710","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35301","description":"Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedging, Clubfoot Cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29750","description":"Wedging, Clubfoot Cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29800","description":"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26372","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35302","description":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35302","description":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35302","description":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35302","description":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35302","description":"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26373","description":"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35303","description":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35303","description":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35303","description":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35303","description":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35303","description":"Thromboendarterectomy, including patch graft, if performed; popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29805","description":"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; capsulorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29806","description":"Arthroscopy, shoulder, surgical; capsulorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29807","description":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26392","description":"Removal, Synthetic Rod & Insertion, Flexor Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35304","description":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35304","description":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35304","description":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35304","description":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35304","description":"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29819","description":"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26420","description":"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35305","description":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35305","description":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35305","description":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35305","description":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35305","description":"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26434","description":"Repair, Extensor Tendon, Distal Insertion, Primary/Secondary; W/Free Graft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35306","description":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35306","description":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35306","description":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35306","description":"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis; of distal joint, each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26474","description":"Tenodesis; of distal joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35311","description":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35311","description":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35311","description":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35311","description":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35311","description":"Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26479","description":"Shortening, Tendon, Flexor, Hand/Finger, Each Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26483","description":"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining gra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35321","description":"Thromboendarterectomy, with or without patch graft; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35321","description":"Thromboendarterectomy, with or without patch graft; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35321","description":"Thromboendarterectomy, with or without patch graft; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35321","description":"Thromboendarterectomy, with or without patch graft; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35321","description":"Thromboendarterectomy, with or without patch graft; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26485","description":"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; abdominal aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35331","description":"Thromboendarterectomy, with or without patch graft; abdominal aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; abdominal aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35331","description":"Thromboendarterectomy, with or without patch graft; abdominal aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; abdominal aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35331","description":"Thromboendarterectomy, with or without patch graft; abdominal aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; abdominal aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35331","description":"Thromboendarterectomy, with or without patch graft; abdominal aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; abdominal aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35331","description":"Thromboendarterectomy, with or without patch graft; abdominal aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26492","description":"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35341","description":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35341","description":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35341","description":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35341","description":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35341","description":"Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opponensplasty; hypothenar muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26494","description":"Opponensplasty; hypothenar muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35351","description":"Thromboendarterectomy, with or without patch graft; iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35351","description":"Thromboendarterectomy, with or without patch graft; iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35351","description":"Thromboendarterectomy, with or without patch graft; iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35351","description":"Thromboendarterectomy, with or without patch graft; iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35351","description":"Thromboendarterectomy, with or without patch graft; iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26497","description":"Transfer, Tendon To Restore Intrinsic Function; Ring & Small Finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35355","description":"Thromboendarterectomy, with or without patch graft; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35355","description":"Thromboendarterectomy, with or without patch graft; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35355","description":"Thromboendarterectomy, with or without patch graft; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35355","description":"Thromboendarterectomy, with or without patch graft; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35355","description":"Thromboendarterectomy, with or without patch graft; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35361","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35361","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35361","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35361","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35361","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction claw finger, other methods","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26499","description":"Correction claw finger, other methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29830","description":"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35363","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35363","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35363","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35363","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35363","description":"Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26502","description":"Reconstruction, Tendon Pulley, Each Tendon; W/Tendon/Fascial Graft(Inc Obtaining Graft) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release, Thenar Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26508","description":"Release, Thenar Muscle(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; single digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26516","description":"Capsulodesis, metacarpophalangeal joint; single digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; common femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35371","description":"Thromboendarterectomy, with or without patch graft; common femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; common femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35371","description":"Thromboendarterectomy, with or without patch graft; common femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; common femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35371","description":"Thromboendarterectomy, with or without patch graft; common femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; common femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35371","description":"Thromboendarterectomy, with or without patch graft; common femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; common femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35371","description":"Thromboendarterectomy, with or without patch graft; common femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; two digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26517","description":"Capsulodesis, metacarpophalangeal joint; two digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35372","description":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35372","description":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35372","description":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35372","description":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35372","description":"Thromboendarterectomy, with or without patch graft; deep (profunda) femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulodesis, metacarpophalangeal joint; three or four digits","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26518","description":"Capsulodesis, metacarpophalangeal joint; three or four digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35390","description":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35390","description":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35390","description":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35390","description":"Reoperation, carotid, thromboendarterectomy, more than one month after original operation&nbsp; (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, metacarpophalangeal joint; each joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26530","description":"Arthroplasty, metacarpophalangeal joint; each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29838","description":"Arthroscopy, elbow, surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29840","description":"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35500","description":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35500","description":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35500","description":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35500","description":"Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35501","description":"Bypass graft, with vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35501","description":"Bypass graft, with vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35501","description":"Bypass graft, with vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35501","description":"Bypass graft, with vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35501","description":"Bypass graft, with vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26541","description":"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35506","description":"Bypass graft, with vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35506","description":"Bypass graft, with vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35506","description":"Bypass graft, with vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35506","description":"Bypass graft, with vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35506","description":"Bypass graft, with vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26546","description":"Repair, Nonunion, Metacarpal/Phalanx, (Includes Obtaining Bone Graft W/Wo Int/Ext Fixation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35508","description":"Bypass graft, with vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35508","description":"Bypass graft, with vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35508","description":"Bypass graft, with vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35508","description":"Bypass graft, with vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35508","description":"Bypass graft, with vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pollicization, Digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26550","description":"Pollicization, Digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35509","description":"Bypass graft, with vein; carotid-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29846","description":"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35509","description":"Bypass graft, with vein; carotid-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35509","description":"Bypass graft, with vein; carotid-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35509","description":"Bypass graft, with vein; carotid-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35509","description":"Bypass graft, with vein; carotid-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26551","description":"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, wrist, surgical, with release of transverse carpal ligament","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29848","description":"Endoscopy, wrist, surgical, with release of transverse carpal ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35510","description":"Bypass graft, with vein; carotid-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35510","description":"Bypass graft, with vein; carotid-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35510","description":"Bypass graft, with vein; carotid-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35510","description":"Bypass graft, with vein; carotid-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; carotid-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35510","description":"Bypass graft, with vein; carotid-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26553","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29850","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35511","description":"Bypass graft, with vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35511","description":"Bypass graft, with vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35511","description":"Bypass graft, with vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35511","description":"Bypass graft, with vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35511","description":"Bypass graft, with vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26554","description":"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35512","description":"Bypass graft, with vein; subclavian-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35512","description":"Bypass graft, with vein; subclavian-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35512","description":"Bypass graft, with vein; subclavian-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35512","description":"Bypass graft, with vein; subclavian-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35512","description":"Bypass graft, with vein; subclavian-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, finger to another position without microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26555","description":"Transfer, finger to another position without microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, free toe joint, with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26556","description":"Transfer, free toe joint, with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35515","description":"Bypass graft, with vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35515","description":"Bypass graft, with vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35515","description":"Bypass graft, with vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35515","description":"Bypass graft, with vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35515","description":"Bypass graft, with vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35516","description":"Bypass graft, with vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35516","description":"Bypass graft, with vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35516","description":"Bypass graft, with vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35516","description":"Bypass graft, with vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35516","description":"Bypass graft, with vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35518","description":"Bypass graft, with vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35518","description":"Bypass graft, with vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35518","description":"Bypass graft, with vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35518","description":"Bypass graft, with vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35518","description":"Bypass graft, with vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26562","description":"Repair, Syndactyly (Web Finger) Each Web Space; Complex (Involving Bone, Nails)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35521","description":"Bypass graft, with vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35521","description":"Bypass graft, with vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35521","description":"Bypass graft, with vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35521","description":"Bypass graft, with vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35521","description":"Bypass graft, with vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; metacarpal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26565","description":"Osteotomy; metacarpal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35522","description":"Bypass graft, with vein; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35522","description":"Bypass graft, with vein; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35522","description":"Bypass graft, with vein; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35522","description":"Bypass graft, with vein; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35522","description":"Bypass graft, with vein; axillary-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, lengthening, metacarpal or phalanx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26568","description":"Osteoplasty, lengthening, metacarpal or phalanx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29866","description":"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-ulnar or -radial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35523","description":"Bypass graft, with vein; brachial-ulnar or -radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-ulnar or -radial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35523","description":"Bypass graft, with vein; brachial-ulnar or -radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-ulnar or -radial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35523","description":"Bypass graft, with vein; brachial-ulnar or -radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-ulnar or -radial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35523","description":"Bypass graft, with vein; brachial-ulnar or -radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-ulnar or -radial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35523","description":"Bypass graft, with vein; brachial-ulnar or -radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29867","description":"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29868","description":"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29870","description":"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35525","description":"Bypass graft, with vein; brachial-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35525","description":"Bypass graft, with vein; brachial-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35525","description":"Bypass graft, with vein; brachial-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35525","description":"Bypass graft, with vein; brachial-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; brachial-brachial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35525","description":"Bypass graft, with vein; brachial-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26587","description":"Reconstruction, Polydactylous Digit, Soft Tissue & Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29871","description":"Arthroscopy, knee, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lateral release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29873","description":"Arthroscopy, knee, surgical; with lateral release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, cho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29874","description":"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, cho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair macrodactylia, each digit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26590","description":"Repair macrodactylia, each digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35526","description":"Bypass graft, with vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35526","description":"Bypass graft, with vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35526","description":"Bypass graft, with vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35526","description":"Bypass graft, with vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35526","description":"Bypass graft, with vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29876","description":"Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26596","description":"Excision, Constricting Ring, Finger, W/Multiple Z-Plasties","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29877","description":"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoceliac or aortomesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35531","description":"Bypass graft, with vein; aortoceliac or aortomesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoceliac or aortomesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35531","description":"Bypass graft, with vein; aortoceliac or aortomesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoceliac or aortomesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35531","description":"Bypass graft, with vein; aortoceliac or aortomesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoceliac or aortomesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35531","description":"Bypass graft, with vein; aortoceliac or aortomesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29875","description":"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoceliac or aortomesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35531","description":"Bypass graft, with vein; aortoceliac or aortomesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or micr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29879","description":"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or micr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29880","description":"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35533","description":"Bypass graft, with vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26645","description":"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35533","description":"Bypass graft, with vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35533","description":"Bypass graft, with vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35533","description":"Bypass graft, with vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35533","description":"Bypass graft, with vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26650","description":"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external f","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26665","description":"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29881","description":"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29882","description":"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29883","description":"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35535","description":"Bypass graft, with vein; hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35535","description":"Bypass graft, with vein; hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35535","description":"Bypass graft, with vein; hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35535","description":"Bypass graft, with vein; hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35535","description":"Bypass graft, with vein; hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26686","description":"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; splenorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35536","description":"Bypass graft, with vein; splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; splenorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35536","description":"Bypass graft, with vein; splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; splenorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35536","description":"Bypass graft, with vein; splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; splenorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35536","description":"Bypass graft, with vein; splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; splenorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35536","description":"Bypass graft, with vein; splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26820","description":"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35537","description":"Bypass graft, with vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35537","description":"Bypass graft, with vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35537","description":"Bypass graft, with vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35537","description":"Bypass graft, with vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29886","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35538","description":"Bypass graft, with vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26841","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35538","description":"Bypass graft, with vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35538","description":"Bypass graft, with vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35538","description":"Bypass graft, with vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26842","description":"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26843","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35539","description":"Bypass graft, with vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35539","description":"Bypass graft, with vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35539","description":"Bypass graft, with vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35539","description":"Bypass graft, with vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35539","description":"Bypass graft, with vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35540","description":"Bypass graft, with vein; aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26844","description":"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35556","description":"Bypass graft, with vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35556","description":"Bypass graft, with vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35556","description":"Bypass graft, with vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35556","description":"Bypass graft, with vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35556","description":"Bypass graft, with vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26852","description":"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35558","description":"Bypass graft, with vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35558","description":"Bypass graft, with vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35558","description":"Bypass graft, with vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35558","description":"Bypass graft, with vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35558","description":"Bypass graft, with vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26862","description":"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, percutaneous (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27000","description":"Tenotomy, adductor of hip, percutaneous (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35560","description":"Bypass graft, with vein; aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35560","description":"Bypass graft, with vein; aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35560","description":"Bypass graft, with vein; aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35560","description":"Bypass graft, with vein; aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35560","description":"Bypass graft, with vein; aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic plantar fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29893","description":"Endoscopic plantar fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor of hip, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27001","description":"Tenotomy, adductor of hip, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35563","description":"Bypass graft, with vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35563","description":"Bypass graft, with vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35563","description":"Bypass graft, with vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35563","description":"Bypass graft, with vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35563","description":"Bypass graft, with vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27003","description":"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35565","description":"Bypass graft, with vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35565","description":"Bypass graft, with vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35565","description":"Bypass graft, with vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35565","description":"Bypass graft, with vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35565","description":"Bypass graft, with vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, hip flexor(s), open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27005","description":"Tenotomy, hip flexor(s), open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35566","description":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35566","description":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35566","description":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35566","description":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35566","description":"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27006","description":"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35570","description":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35570","description":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35570","description":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35570","description":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35570","description":"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27027","description":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35571","description":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35571","description":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35571","description":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35571","description":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35571","description":"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with drainage (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27030","description":"Arthrotomy, hip, with drainage (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29900","description":"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29901","description":"Arthroscopy, metacarpophalangeal joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35572","description":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35572","description":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35572","description":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35572","description":"Harvest, Femoropopliteal Vein, One Segment, Vascular Reconstruction Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, hip, with exploration or removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27033","description":"Arthrotomy, hip, with exploration or removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29902","description":"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35583","description":"In-situ vein bypass; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35583","description":"In-situ vein bypass; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35583","description":"In-situ vein bypass; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35583","description":"In-situ vein bypass; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35583","description":"In-situ vein bypass; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27035","description":"Hip Joint Denervation, Intraarticular Branches, Sciatic/Femoral/Obturator Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35585","description":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35585","description":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35585","description":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35585","description":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35585","description":"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27036","description":"Capsulectomy/Capsulotomy, Hip, W/Hip Flexor Muscles Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Pelvis & Hip Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27040","description":"Bx, Soft Tissue, Pelvis & Hip Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27043","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; popliteal-tibial, peroneal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35587","description":"In-situ vein bypass; popliteal-tibial, peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27041","description":"Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; popliteal-tibial, peroneal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35587","description":"In-situ vein bypass; popliteal-tibial, peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; popliteal-tibial, peroneal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35587","description":"In-situ vein bypass; popliteal-tibial, peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; popliteal-tibial, peroneal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35587","description":"In-situ vein bypass; popliteal-tibial, peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"In-situ vein bypass; popliteal-tibial, peroneal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35587","description":"In-situ vein bypass; popliteal-tibial, peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35600","description":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35600","description":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35600","description":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35600","description":"Harvest, Upper Extremity Art, 1 Segment, Coronary Art Bypass Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27045","description":"\"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27047","description":"Excision, tumor, pelvis and hip area; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35601","description":"Bypass graft, with other than vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35601","description":"Bypass graft, with other than vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35601","description":"Bypass graft, with other than vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35601","description":"Bypass graft, with other than vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35601","description":"Bypass graft, with other than vein; carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27048","description":"Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35606","description":"Bypass graft, with other than vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35606","description":"Bypass graft, with other than vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35606","description":"Bypass graft, with other than vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35606","description":"Bypass graft, with other than vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35606","description":"Bypass graft, with other than vein; carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35612","description":"Bypass graft, with other than vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27049","description":"Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35612","description":"Bypass graft, with other than vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35612","description":"Bypass graft, with other than vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35612","description":"Bypass graft, with other than vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-subclavian","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35612","description":"Bypass graft, with other than vein; subclavian-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27050","description":"Arthrotomy, with biopsy; sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29999","description":"Unlisted procedure, arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with biopsy; hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27052","description":"Arthrotomy, with biopsy; hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30110","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35616","description":"Bypass graft, with other than vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35616","description":"Bypass graft, with other than vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35616","description":"Bypass graft, with other than vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35616","description":"Bypass graft, with other than vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35616","description":"Bypass graft, with other than vein; subclavian-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, nasal polyp(s), extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30115","description":"Excision, nasal polyp(s), extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35621","description":"Bypass graft, with other than vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35621","description":"Bypass graft, with other than vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27054","description":"Arthrotomy, W/Synovectomy, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35621","description":"Bypass graft, with other than vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35621","description":"Bypass graft, with other than vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35621","description":"Bypass graft, with other than vein; axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision inferior turbinate, partial or complete, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30130","description":"Excision inferior turbinate, partial or complete, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Submucous resection inferior turbinate, partial or complete, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30140","description":"Submucous resection inferior turbinate, partial or complete, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27057","description":"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-popliteal or -tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35623","description":"Bypass graft, with other than vein; axillary-popliteal or -tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-popliteal or -tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35623","description":"Bypass graft, with other than vein; axillary-popliteal or -tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-popliteal or -tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35623","description":"Bypass graft, with other than vein; axillary-popliteal or -tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-popliteal or -tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35623","description":"Bypass graft, with other than vein; axillary-popliteal or -tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-popliteal or -tibial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35623","description":"Bypass graft, with other than vein; axillary-popliteal or -tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27059","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision; ischial bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27060","description":"Excision; ischial bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision; trochanteric bursa or calcification","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27062","description":"Excision; trochanteric bursa or calcification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35626","description":"Bypass graft, with other than vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35626","description":"Bypass graft, with other than vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35626","description":"Bypass graft, with other than vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35626","description":"Bypass graft, with other than vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortosubclavian or carotid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35626","description":"Bypass graft, with other than vein; aortosubclavian or carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27065","description":"Excision, Bone Cyst/Benign Tumor; Superficial, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35631","description":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35631","description":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35631","description":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35631","description":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35631","description":"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27066","description":"Excision, Bone Cyst/Benign Tumor; Deep, W/Wo Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35632","description":"Bypass graft, with other than vein; ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35632","description":"Bypass graft, with other than vein; ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35632","description":"Bypass graft, with other than vein; ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35632","description":"Bypass graft, with other than vein; ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35632","description":"Bypass graft, with other than vein; ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35633","description":"Bypass graft, with other than vein; ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35633","description":"Bypass graft, with other than vein; ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35633","description":"Bypass graft, with other than vein; ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35633","description":"Bypass graft, with other than vein; ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35633","description":"Bypass graft, with other than vein; ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35634","description":"Bypass graft, with other than vein; iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35634","description":"Bypass graft, with other than vein; iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35634","description":"Bypass graft, with other than vein; iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35634","description":"Bypass graft, with other than vein; iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliorenal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35634","description":"Bypass graft, with other than vein; iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27070","description":"Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35636","description":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35636","description":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35636","description":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35636","description":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, hip or thigh, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27025","description":"Fasciotomy, hip or thigh, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35636","description":"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27071","description":"Partial excision (craterization, saucerization) (eg,&nbsp;osteomyelitis or bone abscess); deep (subfascial or intramu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35637","description":"Bypass graft, with other than vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35637","description":"Bypass graft, with other than vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35637","description":"Bypass graft, with other than vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35637","description":"Bypass graft, with other than vein; aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30901","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27075","description":"Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30903","description":"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lavage, Cannulation; Maxillary Sinus (Antrum Puncture/Natural Ostium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31000","description":"Lavage, Cannulation; Maxillary Sinus (Antrum Puncture/Natural Ostium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27076","description":"Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35638","description":"Bypass graft, with other than vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35638","description":"Bypass graft, with other than vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35638","description":"Bypass graft, with other than vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35638","description":"Bypass graft, with other than vein; aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lavage, Cannulation; Sphenoid Sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31002","description":"Lavage, Cannulation; Sphenoid Sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31020","description":"Sinusotomy, maxillary (antrotomy); intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31030","description":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35642","description":"Bypass graft, with other than vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35642","description":"Bypass graft, with other than vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35642","description":"Bypass graft, with other than vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35642","description":"Bypass graft, with other than vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35642","description":"Bypass graft, with other than vein; carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; innominate bone, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27077","description":"Radical resection of tumor or infection; innominate bone, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31032","description":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pterygomaxillary fossa surgery, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31040","description":"Pterygomaxillary fossa surgery, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27078","description":"Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35645","description":"Bypass graft, with other than vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35645","description":"Bypass graft, with other than vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35645","description":"Bypass graft, with other than vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35645","description":"Bypass graft, with other than vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; subclavian-vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35645","description":"Bypass graft, with other than vein; subclavian-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, sphenoid, with or without biopsy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31050","description":"Sinusotomy, sphenoid, with or without biopsy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31051","description":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coccygectomy, primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27080","description":"Coccygectomy, primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; external, simple (trephine operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31070","description":"Sinusotomy frontal; external, simple (trephine operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Subq Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27086","description":"Removal, Fb, Pelvis/Hip; Subq Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35646","description":"Bypass graft, with other than vein; aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35646","description":"Bypass graft, with other than vein; aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35646","description":"Bypass graft, with other than vein; aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35646","description":"Bypass graft, with other than vein; aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35647","description":"Bypass graft, with other than vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35647","description":"Bypass graft, with other than vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35647","description":"Bypass graft, with other than vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35647","description":"Bypass graft, with other than vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35647","description":"Bypass graft, with other than vein; aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35650","description":"Bypass graft, with other than vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35650","description":"Bypass graft, with other than vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35650","description":"Bypass graft, with other than vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35650","description":"Bypass graft, with other than vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35650","description":"Bypass graft, with other than vein; axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35654","description":"Bypass graft, with other than vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35654","description":"Bypass graft, with other than vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35654","description":"Bypass graft, with other than vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; axillary-femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35654","description":"Bypass graft, with other than vein; axillary-femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35656","description":"Bypass graft, with other than vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35656","description":"Bypass graft, with other than vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35656","description":"Bypass graft, with other than vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35656","description":"Bypass graft, with other than vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35656","description":"Bypass graft, with other than vein; femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for hip arthrography; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27093","description":"Injection procedure for hip arthrography; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for hip arthrography; with anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27095","description":"Injection procedure for hip arthrography; with anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27096","description":"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35661","description":"Bypass graft, with other than vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35661","description":"Bypass graft, with other than vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35661","description":"Bypass graft, with other than vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35661","description":"Bypass graft, with other than vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35661","description":"Bypass graft, with other than vein; femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35663","description":"Bypass graft, with other than vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35663","description":"Bypass graft, with other than vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35663","description":"Bypass graft, with other than vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35663","description":"Bypass graft, with other than vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35663","description":"Bypass graft, with other than vein; ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35665","description":"Bypass graft, with other than vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35665","description":"Bypass graft, with other than vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35665","description":"Bypass graft, with other than vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35665","description":"Bypass graft, with other than vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35665","description":"Bypass graft, with other than vein; iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35666","description":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35666","description":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35666","description":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35666","description":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35666","description":"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35671","description":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35671","description":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35671","description":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35671","description":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, unilateral, three or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31090","description":"Sinusotomy, unilateral, three or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35671","description":"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; intranasal, anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31200","description":"Ethmoidectomy; intranasal, anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35681","description":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35681","description":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35681","description":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35681","description":"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35685","description":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35685","description":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35685","description":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35685","description":"Placement, Vein Patch/Cuff, Distal Anastomosis Bypass Graft, Synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; intranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31201","description":"Ethmoidectomy; intranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35686","description":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35686","description":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35686","description":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35686","description":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35691","description":"Transposition and/or reimplantation; vertebral to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35691","description":"Transposition and/or reimplantation; vertebral to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35691","description":"Transposition and/or reimplantation; vertebral to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35691","description":"Transposition and/or reimplantation; vertebral to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35691","description":"Transposition and/or reimplantation; vertebral to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35693","description":"Transposition and/or reimplantation; vertebral to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35693","description":"Transposition and/or reimplantation; vertebral to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35693","description":"Transposition and/or reimplantation; vertebral to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35693","description":"Transposition and/or reimplantation; vertebral to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; vertebral to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35693","description":"Transposition and/or reimplantation; vertebral to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31233","description":"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31235","description":"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31237","description":"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; subclavian to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35694","description":"Transposition and/or reimplantation; subclavian to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; subclavian to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35694","description":"Transposition and/or reimplantation; subclavian to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; subclavian to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35694","description":"Transposition and/or reimplantation; subclavian to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; subclavian to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35694","description":"Transposition and/or reimplantation; subclavian to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; subclavian to carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35694","description":"Transposition and/or reimplantation; subclavian to carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31238","description":"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; carotid to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35695","description":"Transposition and/or reimplantation; carotid to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; carotid to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35695","description":"Transposition and/or reimplantation; carotid to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; carotid to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35695","description":"Transposition and/or reimplantation; carotid to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; carotid to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35695","description":"Transposition and/or reimplantation; carotid to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31239","description":"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition and/or reimplantation; carotid to subclavian artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35695","description":"Transposition and/or reimplantation; carotid to subclavian artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31241","description":"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with concha bullosa resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31240","description":"Nasal/sinus endoscopy, surgical; with concha bullosa resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31253","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31254","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35697","description":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35697","description":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35697","description":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35697","description":"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31255","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31256","description":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35700","description":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35700","description":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35700","description":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35700","description":"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31257","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35701","description":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35701","description":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35701","description":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35701","description":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35701","description":"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31259","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31267","description":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31276","description":"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with sphenoidotomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31287","description":"Nasal/sinus endoscopy, surgical, with sphenoidotomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35702","description":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35702","description":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35702","description":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35702","description":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35702","description":"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31288","description":"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31290","description":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31291","description":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31292","description":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35800","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35800","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35800","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35800","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31293","description":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with optic nerve decompression","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31294","description":"Nasal/sinus endoscopy, surgical, with optic nerve decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35820","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35820","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35820","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35820","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35840","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35840","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35840","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35840","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31297","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31298","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Graft-Enteric Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35870","description":"Repair, Graft-Enteric Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Graft-Enteric Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35870","description":"Repair, Graft-Enteric Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Graft-Enteric Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35870","description":"Repair, Graft-Enteric Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Graft-Enteric Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35870","description":"Repair, Graft-Enteric Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35860","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35860","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35860","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35860","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35876","description":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35876","description":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35876","description":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35876","description":"Thrombectomy, Arterial/Venous Graft (Other Than Hemodialysis Graft/Fistula); W/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35879","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35879","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35879","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35879","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35879","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35881","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35881","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35881","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35881","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35881","description":"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35883","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35883","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35883","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35883","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35883","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Traction, W/O Reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27175","description":"Treatment, Slipped Femoral Epiphysis; Traction, W/O Reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35884","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35884","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35884","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35884","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35884","description":"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35901","description":"Excision, Infected Graft; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35901","description":"Excision, Infected Graft; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35901","description":"Excision, Infected Graft; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35901","description":"Excision, Infected Graft; Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35903","description":"Excision, Infected Graft; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35903","description":"Excision, Infected Graft; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35903","description":"Excision, Infected Graft; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35903","description":"Excision, Infected Graft; Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35905","description":"Excision, Infected Graft; Thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35905","description":"Excision, Infected Graft; Thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35905","description":"Excision, Infected Graft; Thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35905","description":"Excision, Infected Graft; Thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35907","description":"Excision, Infected Graft; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35907","description":"Excision, Infected Graft; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35907","description":"Excision, Infected Graft; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35907","description":"Excision, Infected Graft; Abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, (Thrombin) Percutaneous Treatment Extremity Pseudoaneurysm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36002","description":"Injection, (Thrombin) Percutaneous Treatment Extremity Pseudoaneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for extremity venography (including introduction of needle or intracatheter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36005","description":"Injection procedure for extremity venography (including introduction of needle or intracatheter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36010","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36011","description":"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27185","description":"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, left or right pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36014","description":"Selective catheter placement, left or right pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36012","description":"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, segmental or subsegmental pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36015","description":"Selective catheter placement, segmental or subsegmental pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Introduction, Needle/Intracatheter; Carotid/Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36100","description":"Introduction, Needle/Intracatheter; Carotid/Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31545","description":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36200","description":"Place catheter in aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acetabulum (hip socket) fracture(s); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27220","description":"Closed treatment of acetabulum (hip socket) fracture(s); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31546","description":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31572","description":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36223","description":"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27222","description":"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36222","description":"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial caro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36224","description":"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial caro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36225","description":"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36226","description":"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31573","description":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31574","description":"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective Catheter Placement, Ext Carotid Artery, Unilat, W Angiography Of The Ipsilateral External Carotid Circulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36227","description":"Selective Catheter Placement, Ext Carotid Artery, Unilat, W Angiography Of The Ipsilateral External Carotid Circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36228","description":"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36245","description":"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty, medialization, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31591","description":"Laryngoplasty, medialization, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36246","description":"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36247","description":"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, neck; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27230","description":"Closed treatment of femoral fracture, proximal end, neck; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Implanted Intra-Arterial Infusion Pump","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36261","description":"Revision, Implanted Intra-Arterial Infusion Pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Implanted Intra-Arterial Infusion Pump","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36261","description":"Revision, Implanted Intra-Arterial Infusion Pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Implanted Intra-Arterial Infusion Pump","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36261","description":"Revision, Implanted Intra-Arterial Infusion Pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Implanted Intra-Arterial Infusion Pump","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36261","description":"Revision, Implanted Intra-Arterial Infusion Pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27232","description":"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of femoral fracture, proximal end, neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27235","description":"Percutaneous skeletal fixation of femoral fracture, proximal end, neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion, intrauterine, fetal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36460","description":"Transfusion, intrauterine, fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion, intrauterine, fetal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36460","description":"Transfusion, intrauterine, fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion, intrauterine, fetal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36460","description":"Transfusion, intrauterine, fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion, intrauterine, fetal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36460","description":"Transfusion, intrauterine, fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; singl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36465","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36466","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27238","description":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Sclerosing Solution; Multiple Veins, Same Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36471","description":"Injection, Sclerosing Solution; Multiple Veins, Same Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Sclerosing Solution; Single Vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36470","description":"Injection, Sclerosing Solution; Single Vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with manipulation, with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27240","description":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with manipulation, with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36473","description":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous mchnchem add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36474","description":"Endovenous mchnchem add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36475","description":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf vein add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36476","description":"Endovenous rf vein add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36478","description":"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser vein addon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36479","description":"Endovenous laser vein addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of greater trochanteric fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27246","description":"Closed treatment of greater trochanteric fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36482","description":"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36483","description":"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or olde","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36558","description":"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or olde","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; under 5 years of ag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36557","description":"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; under 5 years of ag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; under 5 years of age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36560","description":"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; under 5 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of hip dislocation, traumatic; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27250","description":"Closed treatment of hip dislocation, traumatic; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of hip dislocation, traumatic; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27252","description":"Closed treatment of hip dislocation, traumatic; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36565","description":"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36561","description":"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36566","description":"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36571","description":"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous access device, with subcutaneous port; under 5 years of age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36570","description":"Insertion of peripherally inserted central venous access device, with subcutaneous port; under 5 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/O Anesthesia, W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27256","description":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/O Anesthesia, W/O Manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inj w/fluor eval cv device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36598","description":"Inj w/fluor eval cv device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36818","description":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36818","description":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36818","description":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36818","description":"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/Anesthesia, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27257","description":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/Anesthesia, W/Manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36819","description":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36819","description":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36819","description":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36819","description":"Arteriovenous anastomosis, open; by upper arm basilic vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by forearm vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36820","description":"Arteriovenous anastomosis, open; by forearm vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by forearm vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36820","description":"Arteriovenous anastomosis, open; by forearm vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by forearm vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36820","description":"Arteriovenous anastomosis, open; by forearm vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by forearm vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36820","description":"Arteriovenous anastomosis, open; by forearm vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open; by forearm vein transposition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36820","description":"Arteriovenous anastomosis, open; by forearm vein transposition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of post hip arthroplasty dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27265","description":"Closed treatment of post hip arthroplasty dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36821","description":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36821","description":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36821","description":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36821","description":"Arteriovenous anastomosis, open;&nbsp;direct, any site (eg. Cimino type) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27266","description":"Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36825","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36825","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36825","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36825","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36830","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36830","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36830","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36830","description":"Creation, Av Fistula, Non-Direct (Sep Proc); Non-Autogenous Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36831","description":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36831","description":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36831","description":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36831","description":"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without place","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27278","description":"Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36832","description":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36832","description":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36832","description":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36832","description":"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36833","description":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36833","description":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36833","description":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36833","description":"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36838","description":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36838","description":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36838","description":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36838","description":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"36838","description":"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; renoportal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37145","description":"Venous anastomosis, open; renoportal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; renoportal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37145","description":"Venous anastomosis, open; renoportal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; renoportal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37145","description":"Venous anastomosis, open; renoportal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; renoportal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37145","description":"Venous anastomosis, open; renoportal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; caval-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37160","description":"Venous anastomosis, open; caval-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; caval-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37160","description":"Venous anastomosis, open; caval-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; caval-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37160","description":"Venous anastomosis, open; caval-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; caval-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37160","description":"Venous anastomosis, open; caval-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37180","description":"Venous anastomosis, open; splenorenal, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37180","description":"Venous anastomosis, open; splenorenal, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37180","description":"Venous anastomosis, open; splenorenal, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37180","description":"Venous anastomosis, open; splenorenal, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37181","description":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37181","description":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37181","description":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37181","description":"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including flu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37184","description":"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including flu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37187","description":"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37188","description":"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess,&nbsp;bursa, or hematoma, thigh or knee region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27301","description":"Incision and drainage, deep abscess,&nbsp;bursa, or hematoma, thigh or knee region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Therapy, Arterial Infusion For Thrombolysis Other Than Coronary, Any Method, Initial Treatment Day","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37211","description":"Transcatheter Therapy, Arterial Infusion For Thrombolysis Other Than Coronary, Any Method, Initial Treatment Day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Therapy, Venous Infusion For Thrombolysis, Any Method, Initial Treatment Day","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37212","description":"Transcatheter Therapy, Venous Infusion For Thrombolysis, Any Method, Initial Treatment Day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37215","description":"Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrog","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37217","description":"Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, wh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37218","description":"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, wh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37221","description":"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37220","description":"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with tran","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37222","description":"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with tran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with tran","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37223","description":"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with tran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37224","description":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37225","description":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37226","description":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37227","description":"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27307","description":"Tenotomy, percutaneous, adductor or hamstring; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with translu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37228","description":"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with translu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/ather","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37229","description":"Tib/per revasc w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stent &amp; ather","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37231","description":"Tib/per revasc stent &amp; ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37230","description":"Tib/per revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37232","description":"Tib/per revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibper revasc w/ather add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37233","description":"Tibper revasc w/ather add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Thigh/Knee Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27324","description":"Bx, Soft Tissue, Thigh/Knee Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Thigh/Knee Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27323","description":"Bx, Soft Tissue, Thigh/Knee Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revsc opn/prq tib/pero stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37234","description":"Revsc opn/prq tib/pero stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stnt &amp; ather","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37235","description":"Tib/per revasc stnt &amp; ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37236","description":"Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37237","description":"Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37239","description":"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37238","description":"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trluml balo angiop 1st art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37246","description":"Trluml balo angiop 1st art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27328","description":"Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, thigh or knee area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27327","description":"Excision, tumor, thigh or knee area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trluml balo angiop addl art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37247","description":"Trluml balo angiop addl art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trluml balo angiop 1st vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37248","description":"Trluml balo angiop 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trluml balo angiop addl vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37249","description":"Trluml balo angiop addl vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted vascular endoscopy procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37501","description":"Unlisted vascular endoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37500","description":"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27330","description":"Arthrotomy, knee; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, internal jugular vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37565","description":"Ligation, internal jugular vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; external carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37600","description":"Ligation; external carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; external carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37600","description":"Ligation; external carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; external carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37600","description":"Ligation; external carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; external carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37600","description":"Ligation; external carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37605","description":"Ligation; internal or common carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37605","description":"Ligation; internal or common carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37605","description":"Ligation; internal or common carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37605","description":"Ligation; internal or common carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Bx, Temporal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37609","description":"Ligation/Bx, Temporal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37606","description":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37606","description":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37606","description":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37606","description":"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37615","description":"Ligation, major artery (eg, post-traumatic, rupture); neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37615","description":"Ligation, major artery (eg, post-traumatic, rupture); neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37615","description":"Ligation, major artery (eg, post-traumatic, rupture); neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37615","description":"Ligation, major artery (eg, post-traumatic, rupture); neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37616","description":"Ligation, major artery (eg, post-traumatic, rupture); chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37616","description":"Ligation, major artery (eg, post-traumatic, rupture); chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37616","description":"Ligation, major artery (eg, post-traumatic, rupture); chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); chest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37616","description":"Ligation, major artery (eg, post-traumatic, rupture); chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37617","description":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37617","description":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37617","description":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37617","description":"Ligation, major artery (eg, post-traumatic, rupture); abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37618","description":"Ligation, major artery (eg, post-traumatic, rupture); extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37618","description":"Ligation, major artery (eg, post-traumatic, rupture); extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37618","description":"Ligation, major artery (eg, post-traumatic, rupture); extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, major artery (eg, post-traumatic, rupture); extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37618","description":"Ligation, major artery (eg, post-traumatic, rupture); extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37650","description":"Ligation of femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inferior vena cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37619","description":"Ligation of inferior vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inferior vena cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37619","description":"Ligation of inferior vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inferior vena cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37619","description":"Ligation of inferior vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inferior vena cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37619","description":"Ligation of inferior vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32551","description":"Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, prepatellar bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27340","description":"Excision, prepatellar bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of common iliac vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37660","description":"Ligation of common iliac vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of common iliac vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37660","description":"Ligation of common iliac vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of common iliac vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37660","description":"Ligation of common iliac vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of common iliac vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37660","description":"Ligation of common iliac vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of common iliac vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37660","description":"Ligation of common iliac vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32554","description":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32555","description":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37700","description":"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, division, and stripping, short saphenous vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37718","description":"Ligation, division, and stripping, short saphenous vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37722","description":"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, Perforators, Subfascial, Radical, W/Wo Skin Graft, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37760","description":"Ligation, Perforators, Subfascial, Radical, W/Wo Skin Graft, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligatn/Divisn/Strpg, Lng/Shrt Saphenous Veins W/Radical Excisn, Ulcer/Skin Graft/Interrptn Vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37735","description":"Ligatn/Divisn/Strpg, Lng/Shrt Saphenous Veins W/Radical Excisn, Ulcer/Skin Graft/Interrptn Vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32556","description":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32557","description":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37765","description":"Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Stab phlebectomy of varicose veins, one extremity; more than 20 incisions","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37766","description":"Stab phlebectomy of varicose veins, one extremity; more than 20 incisions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37780","description":"Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Division/Excision, Recurrent Varicose Veins, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37785","description":"Ligation/Division/Excision, Recurrent Varicose Veins, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Penile revascularization, artery, with or without vein graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37788","description":"Penile revascularization, artery, with or without vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Penile revascularization, artery, with or without vein graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37788","description":"Penile revascularization, artery, with or without vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Penile revascularization, artery, with or without vein graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37788","description":"Penile revascularization, artery, with or without vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Penile revascularization, artery, with or without vein graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"37788","description":"Penile revascularization, artery, with or without vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38100","description":"Splenectomy; total (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38100","description":"Splenectomy; total (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38100","description":"Splenectomy; total (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38100","description":"Splenectomy; total (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38101","description":"Splenectomy; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38101","description":"Splenectomy; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38101","description":"Splenectomy; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38101","description":"Splenectomy; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38102","description":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38102","description":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38102","description":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38102","description":"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38115","description":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38115","description":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38115","description":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38115","description":"Repair, Ruptured Spleen (Splenorrhaphy) W/Wo Partial Splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38120","description":"Laparoscopy, surgical, splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38120","description":"Laparoscopy, surgical, splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38120","description":"Laparoscopy, surgical, splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, splenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38120","description":"Laparoscopy, surgical, splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38220","description":"Diagnostic bone marrow; aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27369","description":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Deep, Thigh Region/Knee Area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27372","description":"Removal, Fb, Deep, Thigh Region/Knee Area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38221","description":"Diagnostic bone marrow; biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38222","description":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lymphangiotomy/Other Operations On Lymphatic Channels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38308","description":"Lymphangiotomy/Other Operations On Lymphatic Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lymphangiotomy/Other Operations On Lymphatic Channels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38308","description":"Lymphangiotomy/Other Operations On Lymphatic Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lymphangiotomy/Other Operations On Lymphatic Channels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38308","description":"Lymphangiotomy/Other Operations On Lymphatic Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lymphangiotomy/Other Operations On Lymphatic Channels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38308","description":"Lymphangiotomy/Other Operations On Lymphatic Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38380","description":"Suture and/or ligation of thoracic duct; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38380","description":"Suture and/or ligation of thoracic duct; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38380","description":"Suture and/or ligation of thoracic duct; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38380","description":"Suture and/or ligation of thoracic duct; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38381","description":"Suture and/or ligation of thoracic duct; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38381","description":"Suture and/or ligation of thoracic duct; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38381","description":"Suture and/or ligation of thoracic duct; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38381","description":"Suture and/or ligation of thoracic duct; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38382","description":"Suture and/or ligation of thoracic duct; abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38382","description":"Suture and/or ligation of thoracic duct; abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38382","description":"Suture and/or ligation of thoracic duct; abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture and/or ligation of thoracic duct; abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38382","description":"Suture and/or ligation of thoracic duct; abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38500","description":"Bx/Excision, Lymph Node(S); Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Open, Deep Cervical Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38510","description":"Bx/Excision, Lymph Node(S); Open, Deep Cervical Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Needle, Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38505","description":"Bx/Excision, Lymph Node(S); Needle, Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Open, Deep Cervical Node(S) W/ Excisin Scalene Fat Pad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38520","description":"Bx/Excision, Lymph Node(S); Open, Deep Cervical Node(S) W/ Excisin Scalene Fat Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Open, Deep Axillary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38525","description":"Bx/Excision, Lymph Node(S); Open, Deep Axillary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38531","description":"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38530","description":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38530","description":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38530","description":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38530","description":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38530","description":"Bx/Excision, Lymph Node(S); Int Mammary Node(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dissection, deep jugular node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38542","description":"Dissection, deep jugular node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dissection, deep jugular node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38542","description":"Dissection, deep jugular node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dissection, deep jugular node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38542","description":"Dissection, deep jugular node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dissection, deep jugular node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38542","description":"Dissection, deep jugular node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dissection, deep jugular node(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38542","description":"Dissection, deep jugular node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38555","description":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38555","description":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38555","description":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38555","description":"Excision, Cystic Hygroma, Axillary/Cervical; W/ Deep Neurovascular Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38562","description":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38562","description":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38562","description":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38562","description":"Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38564","description":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38564","description":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38564","description":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38564","description":"Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38570","description":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38570","description":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38570","description":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38570","description":"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38571","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38571","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38571","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38571","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38572","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38572","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38572","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38572","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38573","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38573","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38573","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38573","description":"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suprahyoid lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38700","description":"Suprahyoid lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suprahyoid lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38700","description":"Suprahyoid lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suprahyoid lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38700","description":"Suprahyoid lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suprahyoid lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38700","description":"Suprahyoid lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suprahyoid lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38700","description":"Suprahyoid lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (complete)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38720","description":"Cervical lymphadenectomy (complete)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (complete)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38720","description":"Cervical lymphadenectomy (complete)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (complete)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38720","description":"Cervical lymphadenectomy (complete)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (complete)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38720","description":"Cervical lymphadenectomy (complete)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (complete)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38720","description":"Cervical lymphadenectomy (complete)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27416","description":"Osteochondral knee autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (modified radical neck dissection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38724","description":"Cervical lymphadenectomy (modified radical neck dissection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (modified radical neck dissection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38724","description":"Cervical lymphadenectomy (modified radical neck dissection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (modified radical neck dissection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38724","description":"Cervical lymphadenectomy (modified radical neck dissection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (modified radical neck dissection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38724","description":"Cervical lymphadenectomy (modified radical neck dissection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cervical lymphadenectomy (modified radical neck dissection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38724","description":"Cervical lymphadenectomy (modified radical neck dissection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38740","description":"Axillary lymphadenectomy; superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38740","description":"Axillary lymphadenectomy; superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38740","description":"Axillary lymphadenectomy; superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38740","description":"Axillary lymphadenectomy; superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38740","description":"Axillary lymphadenectomy; superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38745","description":"Axillary lymphadenectomy; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38745","description":"Axillary lymphadenectomy; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38745","description":"Axillary lymphadenectomy; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38745","description":"Axillary lymphadenectomy; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Axillary lymphadenectomy; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38745","description":"Axillary lymphadenectomy; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38746","description":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38746","description":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38746","description":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38746","description":"Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38747","description":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38747","description":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38747","description":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lateral retinacular release, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27425","description":"Lateral retinacular release, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38747","description":"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38765","description":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38765","description":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38765","description":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38765","description":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38765","description":"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypoga","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38770","description":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38770","description":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38770","description":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38770","description":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38770","description":"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Proc On Plastic Repair, Cleft Lip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00102","description":"Anesthesia For Proc On Plastic Repair, Cleft Lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Proc On Salivary Glands, W/Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00100","description":"Anesthesia For Proc On Salivary Glands, W/Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure; lymphangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38790","description":"Injection procedure; lymphangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38780","description":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38780","description":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38780","description":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ra tracer id of sentinl node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38792","description":"Ra tracer id of sentinl node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38780","description":"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Reconstructive Proc, Eyelid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00103","description":"Anesthesia For Reconstructive Proc, Eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Electroconvulsive Therapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00104","description":"Anesthesia, Electroconvulsive Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00120","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Otoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00124","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Otoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Tympanotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00126","description":"Anesthesia, Proc On Ext, Middle, & Inner Ear W/Bx; Tympanotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00140","description":"Anesthesia, Proc On Eye; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, patella; without prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27437","description":"Arthroplasty, patella; without prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39000","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39000","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39000","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39000","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Lens Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00142","description":"Anesthesia, Proc On Eye; Lens Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Corneal Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00144","description":"Anesthesia, Proc On Eye; Corneal Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Vitreoretinal Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00145","description":"Anesthesia, Proc On Eye; Vitreoretinal Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Iridectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00147","description":"Anesthesia, Proc On Eye; Iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Ophthalmoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00148","description":"Anesthesia, Proc On Eye; Ophthalmoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39010","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39010","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39010","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39010","description":"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39200","description":"Excision, Mediastinal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39200","description":"Excision, Mediastinal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39200","description":"Excision, Mediastinal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39200","description":"Excision, Mediastinal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00160","description":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Nose & Accessory Sinuses; Radical Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00162","description":"Anesthesia, Proc On Nose & Accessory Sinuses; Radical Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39220","description":"Excision, Mediastinal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39220","description":"Excision, Mediastinal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39220","description":"Excision, Mediastinal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mediastinal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39220","description":"Excision, Mediastinal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00170","description":"Anesthesia, Intraoral Proc, W/Bx; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00164","description":"Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Excision, Retropharyngeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00174","description":"Anesthesia, Intraoral Proc, W/Bx; Excision, Retropharyngeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00172","description":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Facial Bones/Skull; Radical Surgery W/Prognathism)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00192","description":"Anesthesia, Proc On Facial Bones/Skull; Radical Surgery W/Prognathism)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Facial Bones/Skull; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00190","description":"Anesthesia, Proc On Facial Bones/Skull; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Radical Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00176","description":"Anesthesia, Intraoral Proc, W/Bx; Radical Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, laceration of diaphragm, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39501","description":"Repair, laceration of diaphragm, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, laceration of diaphragm, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39501","description":"Repair, laceration of diaphragm, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, laceration of diaphragm, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39501","description":"Repair, laceration of diaphragm, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, laceration of diaphragm, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39501","description":"Repair, laceration of diaphragm, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00211","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00210","description":"Anesthesia, Intracranial Proc; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39503","description":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39503","description":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39503","description":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39503","description":"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Subdural Taps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00212","description":"Anesthesia, Intracranial Proc; Subdural Taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39540","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39540","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39540","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Burr Holes, W/Ventriculography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00214","description":"Anesthesia, Intracranial Proc; Burr Holes, W/Ventriculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39540","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39541","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39541","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39541","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39541","description":"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Cranioplasty/Elevation Depressed Skull Fx, Extradural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00215","description":"Anesthesia, Intracranial Proc; Cranioplasty/Elevation Depressed Skull Fx, Extradural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Proc In Sitting Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00218","description":"Anesthesia, Intracranial Proc; Proc In Sitting Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Vascular Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00216","description":"Anesthesia, Intracranial Proc; Vascular Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00222","description":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Cerebrospinal Fluid Shunting Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00220","description":"Anesthesia, Intracranial Proc; Cerebrospinal Fluid Shunting Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39545","description":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39545","description":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39545","description":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Head, Neck, Post Trunk Integumentary, Muscles/Nerves","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00300","description":"Anesthesia, Head, Neck, Post Trunk Integumentary, Muscles/Nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Neck Organ Proc; Nos, Age 1 Yr/Older","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00320","description":"Anesthesia, Neck Organ Proc; Nos, Age 1 Yr/Older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39545","description":"Imbrication, Diaphragm, Eventration, Transthoracic/Transabdominal/Paralytic/Nonparalytic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with simple repair (eg, primary suture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39560","description":"Resection, diaphragm; with simple repair (eg, primary suture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with simple repair (eg, primary suture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39560","description":"Resection, diaphragm; with simple repair (eg, primary suture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with simple repair (eg, primary suture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39560","description":"Resection, diaphragm; with simple repair (eg, primary suture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with simple repair (eg, primary suture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39560","description":"Resection, diaphragm; with simple repair (eg, primary suture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Neck Organ Proc; Thyroid Needle Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00322","description":"Anesthesia, Neck Organ Proc; Thyroid Needle Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39561","description":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Larynx & Trachea Proc; Children <1 Yr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00326","description":"Anesthesia, Larynx & Trachea Proc; Children <1 Yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39561","description":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39561","description":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39561","description":"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Vessels, Neck; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00350","description":"Anesthesia, Proc On Major Vessels, Neck; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00352","description":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00400","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Breast Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00402","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Breast Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Radical/Modified Radical Breast Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00404","description":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Radical/Modified Radical Breast Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40701","description":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40701","description":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40701","description":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Rad/Modified Rad Breast Surg W/Node Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00406","description":"Anesthesia, Extremities, Ant Trunk, Perineum, Integ; Rad/Modified Rad Breast Surg W/Node Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40701","description":"Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Cardioversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00410","description":"Anesthesia, Extremities, Anterior Trunk, Perineum, Integumentary; Cardioversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Clavicle & Scapula; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00450","description":"Anesthesia, Proc On Clavicle & Scapula; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40720","description":"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00470","description":"Anesthesia, Partial Rib Resection; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Clavicle & Scapula; Bx, Clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00454","description":"Anesthesia, Proc On Clavicle & Scapula; Bx, Clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Thoracoplasty, Any Type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00472","description":"Anesthesia, Partial Rib Resection; Thoracoplasty, Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Partial Rib Resection; Radical Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00474","description":"Anesthesia, Partial Rib Resection; Radical Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40840","description":"Vestibuloplasty; anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40840","description":"Vestibuloplasty; anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40840","description":"Vestibuloplasty; anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40840","description":"Vestibuloplasty; anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Brain, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00500","description":"Destruction of Brain, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; posterior, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40843","description":"Vestibuloplasty; posterior, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; posterior, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40843","description":"Vestibuloplasty; posterior, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; posterior, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40843","description":"Vestibuloplasty; posterior, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; posterior, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40843","description":"Vestibuloplasty; posterior, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Dura Mater, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00520","description":"Destruction of Dura Mater, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Chest Proc; Pleura Needle Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00522","description":"Anesthesia, Closed Chest Proc; Pleura Needle Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Dura Mater, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00524","description":"Destruction of Dura Mater, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Chest Proc; Mediastinoscopy, Dx Thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00528","description":"Anesthesia, Closed Chest Proc; Mediastinoscopy, Dx Thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for Closed Chest Procedures; Mediastinoscopy and Diagnostic Thoracoscopy Utilizing One Lung Ventilation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00529","description":"Anesthesia for Closed Chest Procedures; Mediastinoscopy and Diagnostic Thoracoscopy Utilizing One Lung Ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; entire arch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40844","description":"Vestibuloplasty; entire arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; entire arch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40844","description":"Vestibuloplasty; entire arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; entire arch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40844","description":"Vestibuloplasty; entire arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; entire arch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"40844","description":"Vestibuloplasty; entire arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Permanent Transvenous Pacemaker Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00530","description":"Anesthesia, Permanent Transvenous Pacemaker Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; less than one-half tongue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41120","description":"Glossectomy; less than one-half tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; less than one-half tongue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41120","description":"Glossectomy; less than one-half tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; less than one-half tongue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41120","description":"Glossectomy; less than one-half tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; less than one-half tongue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41120","description":"Glossectomy; less than one-half tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Access To Central Venous Circulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00532","description":"Anesthesia, Access To Central Venous Circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transvenous Insertion/Replacement, Pacing Cardioverter/Defibrillator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00534","description":"Anesthesia, Transvenous Insertion/Replacement, Pacing Cardioverter/Defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; hemiglossectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41130","description":"Glossectomy; hemiglossectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; hemiglossectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41130","description":"Glossectomy; hemiglossectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; hemiglossectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41130","description":"Glossectomy; hemiglossectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; hemiglossectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41130","description":"Glossectomy; hemiglossectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00537","description":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Tracheobronchial Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00539","description":"Anesthesia, Tracheobronchial Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00540","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27475","description":"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; partial, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41135","description":"Glossectomy; partial, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; partial, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41135","description":"Glossectomy; partial, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; partial, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41135","description":"Glossectomy; partial, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; partial, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41135","description":"Glossectomy; partial, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27477","description":"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; W/1 Lung Ventilation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00541","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; W/1 Lung Ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00542","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Pulm Resection W/Thoracoplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00546","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Pulm Resection W/Thoracoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Repair Trachea/Bronchi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00548","description":"Anesthesia, Thoracotomy Proc, W/Surg Thoracoscopy; Repair Trachea/Bronchi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":330.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27485","description":"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Sternal Debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00550","description":"Anesthesia, Sternal Debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41140","description":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41140","description":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41140","description":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41140","description":"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cerebral Ventricle, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00560","description":"Destruction of Cerebral Ventricle, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41145","description":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41145","description":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41145","description":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41145","description":"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; W Pump Oxygenator, Under 1 Year Of Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00561","description":"Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; W Pump Oxygenator, Under 1 Year Of Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Heart, Pericard, & Grt Vessls, Chest; W/Pump Oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00562","description":"Anesthesia, Proc On Heart, Pericard, & Grt Vessls, Chest; W/Pump Oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":389.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41153","description":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41153","description":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41153","description":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cerebral Ventricle, Percutaneous Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00563","description":"Destruction of Cerebral Ventricle, Percutaneous Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41150","description":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41150","description":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41150","description":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41150","description":"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Direct Coronary Artery Bypass Grafting W/O Pump Oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00566","description":"Anesthesia, Direct Coronary Artery Bypass Grafting W/O Pump Oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for direct coronary artery bypass grafting; with pump oxygenator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00567","description":"Anesthesia for direct coronary artery bypass grafting; with pump oxygenator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41155","description":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41155","description":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41155","description":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41155","description":"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Comma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Basal Ganglia, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00580","description":"Destruction of Basal Ganglia, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":389.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Cervical Spine & Cord; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00600","description":"Anesthesia, Proc, Cervical Spine & Cord; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00604","description":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Thoracic Spine & Cord; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00620","description":"Anesthesia, Proc, Thoracic Spine & Cord; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00625","description":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00626","description":"Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00630","description":"Anesthesia, Proc, Lumbar Region; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Palate/Extensive Resection, Lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42120","description":"Resection, Palate/Extensive Resection, Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Palate/Extensive Resection, Lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42120","description":"Resection, Palate/Extensive Resection, Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Palate/Extensive Resection, Lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42120","description":"Resection, Palate/Extensive Resection, Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Palate/Extensive Resection, Lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42120","description":"Resection, Palate/Extensive Resection, Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42200","description":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42200","description":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42200","description":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42200","description":"Palatoplasty, Cleft Palate, Soft &/Or Hard Palate Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27496","description":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Lumbar Sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00632","description":"Anesthesia, Proc, Lumbar Region; Lumbar Sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor); with debridement of nonvi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27497","description":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor); with debridement of nonvi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lumbar Region; Diagnostic/Therapeutic Lumbar Puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00635","description":"Anesthesia, Proc, Lumbar Region; Diagnostic/Therapeutic Lumbar Puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Manipulation, Spine, Closed Proc, Cervical/Thoracic/Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00640","description":"Anesthesia, Manipulation, Spine, Closed Proc, Cervical/Thoracic/Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42205","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42205","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42205","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42205","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42210","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42210","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42210","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42210","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00700","description":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extensive Spine & Spinal Cord Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00670","description":"Anesthesia, Extensive Spine & Spinal Cord Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Percutaneous Liver Bx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00702","description":"Anesthesia, Proc, Upper Anterior Abdominal Wall; Percutaneous Liver Bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00731","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Upper Posterior Abdominal Wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00730","description":"Anesthesia, Proc, Upper Posterior Abdominal Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Major Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42215","description":"Palatoplasty, Cleft Palate; Major Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Major Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42215","description":"Palatoplasty, Cleft Palate; Major Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Major Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42215","description":"Palatoplasty, Cleft Palate; Major Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Major Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42215","description":"Palatoplasty, Cleft Palate; Major Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral shaft fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27500","description":"Closed treatment of femoral shaft fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00732","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42220","description":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42220","description":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42220","description":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42220","description":"Palatoplasty, Cleft Palate; Secondary Lengthening Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without man","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27501","description":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00750","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27502","description":"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Lumbar & Ventral, &/Or Wound Dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00752","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Lumbar & Ventral, &/Or Wound Dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42225","description":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42225","description":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42225","description":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42225","description":"Palatoplasty, Cleft Palate; Attachment Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27503","description":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, & Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42226","description":"Lengthening, Palate, & Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, & Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42226","description":"Lengthening, Palate, & Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, & Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42226","description":"Lengthening, Palate, & Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, & Pharyngeal Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42226","description":"Lengthening, Palate, & Pharyngeal Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Omphalocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00754","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Omphalocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Upper Abdomen; Transabdominal Repair, Diaphragmatic Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00756","description":"Anesthesia, Hernia Repairs, Upper Abdomen; Transabdominal Repair, Diaphragmatic Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Major Abdominal Blood Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00770","description":"Anesthesia, All Proc On Major Abdominal Blood Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, W/Island Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42227","description":"Lengthening, Palate, W/Island Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, W/Island Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42227","description":"Lengthening, Palate, W/Island Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, W/Island Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42227","description":"Lengthening, Palate, W/Island Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Palate, W/Island Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42227","description":"Lengthening, Palate, W/Island Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27508","description":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00790","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Abd W/Laparoscopy; Partial Hepatectomy/Mgmt Liver Hemorrhage (W/O Liver Bx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00792","description":"Anesthesia, Upper Abd W/Laparoscopy; Partial Hepatectomy/Mgmt Liver Hemorrhage (W/O Liver Bx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Pancreatectomy, Partial/Total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00794","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Pancreatectomy, Partial/Total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Gastric Restrict, Morbid Obesity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00797","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Gastric Restrict, Morbid Obesity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27509","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Liver Transplant, Recipient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00796","description":"Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Liver Transplant, Recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":584.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27510","description":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00811","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lower Anterior Abdominal Wall; Panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00802","description":"Anesthesia, Proc, Lower Anterior Abdominal Wall; Panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Brain, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00800","description":"Division of Brain, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anterior Palate, W/Vomer Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42235","description":"Repair, Anterior Palate, W/Vomer Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anterior Palate, W/Vomer Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42235","description":"Repair, Anterior Palate, W/Vomer Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anterior Palate, W/Vomer Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42235","description":"Repair, Anterior Palate, W/Vomer Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anterior Palate, W/Vomer Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42235","description":"Repair, Anterior Palate, W/Vomer Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00812","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00813","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nasolabial Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42260","description":"Repair, Nasolabial Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nasolabial Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42260","description":"Repair, Nasolabial Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nasolabial Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42260","description":"Repair, Nasolabial Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Lower Posterior Abdominal Wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00820","description":"Anesthesia, Proc, Lower Posterior Abdominal Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nasolabial Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42260","description":"Repair, Nasolabial Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sialolithotomy; parotid, extraoral or complicated intraoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42340","description":"Sialolithotomy; parotid, extraoral or complicated intraoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00830","description":"Anesthesia, Hernia Repairs, Lower Abdomen; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal femoral epiphyseal separation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27516","description":"Closed treatment of distal femoral epiphyseal separation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen; Ventral & Incisional Hernias","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00832","description":"Anesthesia, Hernia Repairs, Lower Abdomen; Ventral & Incisional Hernias","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, Infants <37 Wks @ Birth & <50 Wks @ Surg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00836","description":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, Infants <37 Wks @ Birth & <50 Wks @ Surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, <One Year Of Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00834","description":"Anesthesia, Hernia Repairs, Lower Abdomen, Nos, <One Year Of Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42409","description":"Marsupialization, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42409","description":"Marsupialization, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42409","description":"Marsupialization, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27517","description":"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42409","description":"Marsupialization, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00842","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00840","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Abdominoperineal Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00844","description":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Abdominoperineal Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Radical Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00846","description":"Anesthesia, Introperitoneal Proc, Lower Abdomen, W/Laparoscopy; Radical Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27520","description":"Closed treatment of patellar fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00848","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42415","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42415","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42415","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42415","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42410","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42415","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42410","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42410","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42410","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42410","description":"Excision, Parotid Tumor/Parotid Gland; Lateral Lobe, W/O Nerve Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Tubal Ligation/Transection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00851","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Tubal Ligation/Transection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial fracture, proximal (plateau); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27530","description":"Closed treatment of tibial fracture, proximal (plateau); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00860","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Proc/Donor Nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00862","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Proc/Donor Nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Total Cystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00864","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Total Cystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42420","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27532","description":"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42420","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42420","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42420","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00865","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42420","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Nerve Dissection, Preservation, Facial Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Adrenalectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00866","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Adrenalectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42425","description":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42425","description":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42425","description":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42425","description":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42425","description":"Excision, Parotid Tumor/Parotid Gland; Total, En Bloc, Nerve Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00868","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cerebral Hemisphere, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00870","description":"Division of Cerebral Hemisphere, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cerebral Hemisphere, Percutaneous Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00873","description":"Division of Cerebral Hemisphere, Percutaneous Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Lithotripsy, Extracorporeal Shock Wave; W/Water Bath","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00872","description":"Anesthesia, Lithotripsy, Extracorporeal Shock Wave; W/Water Bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27538","description":"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Basal Ganglia, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00880","description":"Division of Basal Ganglia, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Lower Abdominal Vessels; Inferior Vena Cava Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00882","description":"Anesthesia, Proc On Major Lower Abdominal Vessels; Inferior Vena Cava Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Anorectal Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00902","description":"Anesthesia, Anorectal Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Submandibular (Submaxillary) Gland","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42440","description":"Excision, Submandibular (Submaxillary) Gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Submandibular (Submaxillary) Gland","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42440","description":"Excision, Submandibular (Submaxillary) Gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Submandibular (Submaxillary) Gland","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42440","description":"Excision, Submandibular (Submaxillary) Gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Submandibular (Submaxillary) Gland","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42440","description":"Excision, Submandibular (Submaxillary) Gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Submandibular (Submaxillary) Gland","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42440","description":"Excision, Submandibular (Submaxillary) Gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42507","description":"Parotid duct diversion, bilateral (Wilke type procedure);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42507","description":"Parotid duct diversion, bilateral (Wilke type procedure);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42507","description":"Parotid duct diversion, bilateral (Wilke type procedure);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brain, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00904","description":"Drainage of Brain, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42507","description":"Parotid duct diversion, bilateral (Wilke type procedure);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vulvectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00906","description":"Anesthesia, Vulvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of knee dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27552","description":"Closed treatment of knee dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of knee dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27550","description":"Closed treatment of knee dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Perineal Prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00908","description":"Anesthesia, Perineal Prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Transurethral Resection, Bladder Tumor(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00912","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Transurethral Resection, Bladder Tumor(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Cerebral Meninges, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00910","description":"Drainage of Cerebral Meninges, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Cerebral Meninges, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00914","description":"Drainage of Cerebral Meninges, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42510","description":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42510","description":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42510","description":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42510","description":"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); W/Fragmentation/Manip/Rem, Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00918","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); W/Fragmentation/Manip/Rem, Ureteral Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia (W/Open Urethral Proc); Vasectomy, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00921","description":"Anesthesia, Proc, Male Genitalia (W/Open Urethral Proc); Vasectomy, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Dura Mater, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00920","description":"Drainage of Dura Mater, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42725","description":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42725","description":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42725","description":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42725","description":"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27560","description":"Closed treatment of patellar dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Seminal Vesicles","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00922","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Seminal Vesicles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27562","description":"Closed treatment of patellar dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Dura Mater, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00924","description":"Drainage of Dura Mater, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Inguinal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00926","description":"Nesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Inguinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42810","description":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42810","description":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42810","description":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42810","description":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42810","description":"Excision, Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00928","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Radical Orchiectomy, Abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42815","description":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42815","description":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42815","description":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42815","description":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42815","description":"Excision, Branchial Cleft Cyst/Vestige/Fistula, Extending Beneath Subq/Pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Epidural Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00930","description":"Drainage of Intracranial Epidural Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Complete Amputation, Penis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00932","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Complete Amputation, Penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42844","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42844","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42844","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42844","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Epidural Space, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00934","description":"Drainage of Intracranial Epidural Space, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, Knee Joint Under General Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27570","description":"Manipulation, Knee Joint Under General Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Rad Amput Penis W/Bilat Inguin & Iliac Nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00936","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Rad Amput Penis W/Bilat Inguin & Iliac Nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42845","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42845","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42845","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42845","description":"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Penis Prosthesis Insert, Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00938","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Penis Prosthesis Insert, Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subdural Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00940","description":"Drainage of Intracranial Subdural Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited pharyngectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42890","description":"Limited pharyngectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited pharyngectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42890","description":"Limited pharyngectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited pharyngectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42890","description":"Limited pharyngectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Limited pharyngectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42890","description":"Limited pharyngectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subdural Space, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00944","description":"Drainage of Intracranial Subdural Space, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Colpotomy, Vaginectomy, Colporrhaphy & Open Urethral Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00942","description":"Anesthesia, Vaginal Proc, W/Bx; Colpotomy, Vaginectomy, Colporrhaphy & Open Urethral Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Cervical Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00948","description":"Anesthesia, Vaginal Proc, W/Bx; Cervical Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Intracranial Subarachnoid Space, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00950","description":"Drainage of Intracranial Subarachnoid Space, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42892","description":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42892","description":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42892","description":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42892","description":"Resection, Lateral Pharyngeal Wall/Pyriform Sinus, Closure, Advancement Lateral & Posterior Walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Vaginal Proc, W/Bx; Hysteroscopy &/Or Hysterosalpingography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00952","description":"Anesthesia, Vaginal Proc, W/Bx; Hysteroscopy &/Or Hysterosalpingography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Bone Marrow Aspiration &/Or Bx, Anterior/Posterior Iliac Crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01112","description":"Anesthesia, Bone Marrow Aspiration &/Or Bx, Anterior/Posterior Iliac Crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42894","description":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42894","description":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42894","description":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42894","description":"Resection, Pharyngeal Wall Requiring Closure W/Myocutaneous Flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Bony Pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01120","description":"Anesthesia, Proc, Bony Pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Interpelviabdominal (Hindquarter) Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01140","description":"Anesthesia, Interpelviabdominal (Hindquarter) Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Body Cast Application/Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01130","description":"Anesthesia, Body Cast Application/Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42950","description":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42950","description":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42950","description":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42950","description":"Pharyngoplasty (plastic or reconstructive operation on pharynx)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27594","description":"Amputation, thigh, through femur, any level; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27596","description":"Amputation, thigh, through femur, any level; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Radical Proc, Tumor, Pelvis, Except Hindquarter Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01150","description":"Anesthesia, Radical Proc, Tumor, Pelvis, Except Hindquarter Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Proc Involving Symphysis Pubis/Sacroiliac Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01160","description":"Anesthesia, Closed Proc Involving Symphysis Pubis/Sacroiliac Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Symphysis Pubis/Sacroiliac Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01170","description":"Anesthesia, Open Proc Involving Symphysis Pubis/Sacroiliac Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoesophageal repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42953","description":"Pharyngoesophageal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoesophageal repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42953","description":"Pharyngoesophageal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoesophageal repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42953","description":"Pharyngoesophageal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngoesophageal repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42953","description":"Pharyngoesophageal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngostomy (fistulization of pharynx, external for feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42955","description":"Pharyngostomy (fistulization of pharynx, external for feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngostomy (fistulization of pharynx, external for feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42955","description":"Pharyngostomy (fistulization of pharynx, external for feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngostomy (fistulization of pharynx, external for feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42955","description":"Pharyngostomy (fistulization of pharynx, external for feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngostomy (fistulization of pharynx, external for feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42955","description":"Pharyngostomy (fistulization of pharynx, external for feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc Involving Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01200","description":"Anesthesia, All Closed Proc Involving Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for Open Repair of Fracture Disruption of Pelvis or Column Fracture Involving Acetabulum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01173","description":"Anesthesia for Open Repair of Fracture Disruption of Pelvis or Column Fracture Involving Acetabulum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42961","description":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42961","description":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42961","description":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42961","description":"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01210","description":"Anesthesia, Open Proc Involving Hip Joint; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arthroscopic Proc, Hip Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01202","description":"Anesthesia, Arthroscopic Proc, Hip Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Hip Disarticulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01212","description":"Anesthesia, Open Proc Involving Hip Joint; Hip Disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral compartments only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27600","description":"Decompression fasciotomy, leg; anterior and/or lateral compartments only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"41153","description":"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; posterior compartment(s) only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27601","description":"Decompression fasciotomy, leg; posterior compartment(s) only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Revision, Total Hip Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01215","description":"Anesthesia, Open Proc Involving Hip Joint; Revision, Total Hip Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42971","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42971","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42971","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42971","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc Involving Upper Two Thirds, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01220","description":"Anesthesia, All Closed Proc Involving Upper Two Thirds, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01230","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, leg or ankle; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27603","description":"Incision and drainage, leg or ankle; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42972","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42972","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42972","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"42972","description":"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, leg or ankle; infected bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27604","description":"Incision and drainage, leg or ankle; infected bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27605","description":"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01232","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, cervical approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43020","description":"Esophagotomy, cervical approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, cervical approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43020","description":"Esophagotomy, cervical approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, cervical approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43020","description":"Esophagotomy, cervical approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, cervical approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43020","description":"Esophagotomy, cervical approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01234","description":"Anesthesia, Open Proc Involving Upper Two Thirds, Femur; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Nerves, Muscles, Tendons, Fascia, & Bursae, Upper Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01250","description":"Anesthesia, All Proc On Nerves, Muscles, Tendons, Fascia, & Bursae, Upper Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, Achilles tendon, (separate procedure); general anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27606","description":"Tenotomy, percutaneous, Achilles tendon, (separate procedure); general anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, Leg/Ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27607","description":"Incision, Leg/Ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc Involving Veins, Upper Leg, W/Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01260","description":"Anesthesia, All Proc Involving Veins, Upper Leg, W/Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27610","description":"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01270","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01272","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cricopharyngeal myotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43030","description":"Cricopharyngeal myotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cricopharyngeal myotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43030","description":"Cricopharyngeal myotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cricopharyngeal myotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43030","description":"Cricopharyngeal myotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cricopharyngeal myotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43030","description":"Cricopharyngeal myotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01274","description":"Anesthesia, Upper Leg Artery Proc W/Bypass Graft; Femoral Artery Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves, Muscles, Tendons, Fascia & Bursae, Knee &/Or Popliteal Area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01320","description":"Anesthesia, Nerves, Muscles, Tendons, Fascia & Bursae, Knee &/Or Popliteal Area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Lower One Third, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01340","description":"Anesthesia, All Closed Proc On Lower One Third, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Leg/Ankle Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27613","description":"Bx, Soft Tissue, Leg/Ankle Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, thoracic approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43045","description":"Esophagotomy, thoracic approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, thoracic approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43045","description":"Esophagotomy, thoracic approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, thoracic approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43045","description":"Esophagotomy, thoracic approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagotomy, thoracic approach, with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43045","description":"Esophagotomy, thoracic approach, with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Leg/Ankle Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27614","description":"Bx, Soft Tissue, Leg/Ankle Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Open Proc On Lower One Third, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01360","description":"Anesthesia, All Open Proc On Lower One Third, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27615","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43100","description":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc Involving Hip Joint; Total Hip Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01214","description":"Anesthesia, Open Proc Involving Hip Joint; Total Hip Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43100","description":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43100","description":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43100","description":"Excision, Lesion, Esophagus, W/Primary Repair; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01380","description":"Anesthesia, All Closed Proc On Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27616","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43101","description":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43101","description":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43101","description":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43101","description":"Excision, Lesion, Esophagus, W/Primary Repair; Thoracic/Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, leg or ankle area; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27618","description":"Excision, tumor, leg or ankle area; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01382","description":"Anesthesia, Dx Arthroscopic Proc, Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Upper Ends, Tibia, Fibula, &/Or Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01390","description":"Anesthesia, All Closed Proc On Upper Ends, Tibia, Fibula, &/Or Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Open Proc On Upper Ends, Tibia, Fibula, &/Or Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01392","description":"Anesthesia, All Open Proc On Upper Ends, Tibia, Fibula, &/Or Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43107","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43107","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43107","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, leg or ankle area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27619","description":"Excision, tumor, leg or ankle area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01400","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Total Knee Arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01402","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Total Knee Arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43108","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43108","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43108","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43108","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Disarticulation At Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01404","description":"Anesthesia, Open/Surg Arthroscopic Proc, Knee Joint; Disarticulation At Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Cast Applications, Removal/Repair Involving Knee Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01420","description":"Anesthesia, All Cast Applications, Removal/Repair Involving Knee Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01430","description":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43112","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43112","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43112","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43112","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Arteriovenous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01432","description":"Anesthesia, Proc On Veins, Knee & Popliteal Area; Arteriovenous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43113","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43113","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43113","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43113","description":"Total/Near Total Esophagectomy, W/Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Thromboendarterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01442","description":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Thromboendarterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01440","description":"Anesthesia, Arteries, Knee & Popliteal Area; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Excision & Graft/Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01444","description":"Anesthesia, Arteries, Knee & Popliteal Area; Popliteal Excision & Graft/Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule, Leg &/Or Ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27630","description":"Excision, Lesion, Tendon Sheath/Capsule, Leg &/Or Ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc, Lower Leg, Ankle, & Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01462","description":"Anesthesia, All Closed Proc, Lower Leg, Ankle, & Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arthroscopic Proc, Ankle &/Or Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01464","description":"Anesthesia, Arthroscopic Proc, Ankle &/Or Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01470","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43116","description":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43116","description":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43116","description":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43116","description":"Partl Esophagectomy, Cervical W/Free Intestinal Graft, W/Microvasc Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43117","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43117","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43117","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43117","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy, Sep Incisin; W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Post Transurethral Resection Bleeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"00916","description":"Anesthesia, Transurethral Proc (W/Urethrocystoscopy); Post Transurethral Resection Bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Ruptured Achilles Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01472","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Ruptured Achilles Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43118","description":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Gastrocnemius Recession","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01474","description":"Anesthesia, Nerves/Muscles/Tendons & Fascia, Lower Leg/Ankle/Foot; Gastrocnemius Recession","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43118","description":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43118","description":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43118","description":"Partl Esophagctmy, Distal Two Thrds, W/Thoractmy,Sep Incisn; W/Colon Intrpostn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg,Ankle & Foot; Radical Resection W/Below Knee Amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01482","description":"Anesthesia, Open Proc, Bones, Lower Leg,Ankle & Foot; Radical Resection W/Below Knee Amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01480","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43121","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43121","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43121","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01484","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27635","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Total Ankle Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01486","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Total Ankle Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Lower Leg Cast Application, Removal/Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01490","description":"Anesthesia, Lower Leg Cast Application, Removal/Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43122","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43122","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43122","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43122","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Cervical Plexus, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01500","description":"Destruction of Cervical Plexus, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01502","description":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43123","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43121","description":"Partl Esophagectomy, Distal Two Thrds, W/Thoracotomy Only, W/Thoracic Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43123","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43123","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of Phrenic Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01520","description":"Destruction of Phrenic Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43123","description":"Partl Esophagectomy, Thoracoabdominal/Abdominal Approach; W/Colon Interpositn/Sm Bowel Reconstrct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Lower Leg; Venous Thrombectomy, Direct/W/Catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01522","description":"Anesthesia, Proc On Veins, Lower Leg; Venous Thrombectomy, Direct/W/Catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); tibia</","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27640","description":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); tibia</","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); fibula<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27641","description":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); fibula<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Shoulder/Axilla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01610","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Shoulder/Axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43124","description":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Proc, Humeral Head & Neck/Sternoclavicular Joint/Ac Joint/Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01620","description":"Anesthesia, Closed Proc, Humeral Head & Neck/Sternoclavicular Joint/Ac Joint/Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43124","description":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43124","description":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43124","description":"Total/Partl Esophagectomy, W/O Reconstruction, W/Cervical Esophagostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43130","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43130","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43130","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43130","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01630","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Shoulder Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01622","description":"Anesthesia, Dx Arthroscopic Proc, Shoulder Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Disarticul","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01634","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Disarticul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesth, Open/Surg Arthroscop Proc, Humer Head & Neck, Sternoclav/Ac/Should Jt; Intrthoracoscap Amput","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01636","description":"Anesth, Open/Surg Arthroscop Proc, Humer Head & Neck, Sternoclav/Ac/Should Jt; Intrthoracoscap Amput","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43135","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43135","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43135","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43135","description":"Diverticulectomy, Hypopharynx/Esophagus, W/Wo Myotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01638","description":"Anesthesia, Open/Surg Arthroscopic Proc, Humeral Head & Neck, Sternoclav/Ac/Shoulder Jt; Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01650","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Bypass Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01654","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Bypass Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Brachial Aneurysm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01652","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Brachial Aneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43279","description":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43279","description":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43279","description":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for ankle arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27648","description":"Injection procedure for ankle arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43279","description":"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43280","description":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43280","description":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43280","description":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43280","description":"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Proc On Veins, Shoulder & Axilla","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01670","description":"Anesthesia, All Proc On Veins, Shoulder & Axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Shoulder Cast Application, Removal/Repair; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01680","description":"Anesthesia, Shoulder Cast Application, Removal/Repair; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01710","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Femoral Bypass Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01656","description":"Anesthesia, Proc On Arteries, Shoulder & Axilla; Axillary-Femoral Bypass Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenotomy Elbow-Shoulder, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01712","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenotomy Elbow-Shoulder, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43281","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43281","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43281","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43281","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27652","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43282","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43282","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43282","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43282","description":"\"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenoplasty, Elbow-Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01714","description":"Anesthesia, Nerves/Muscles/Tendons/Fascia & Bursae, Upper Arm & Elbow; Tenoplasty, Elbow-Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Nerve/Muscl/Tendon/Fascia & Bursae, Upper Arm & Elbow; Tenodesis, Rupt Lng Biceps Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01716","description":"Anesthesia, Nerve/Muscl/Tendon/Fascia & Bursae, Upper Arm & Elbow; Tenodesis, Rupt Lng Biceps Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43283","description":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, All Closed Proc On Humerus & Elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01730","description":"Anesthesia, All Closed Proc On Humerus & Elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43283","description":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43283","description":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43283","description":"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps esophgl sphnctr agmntj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43284","description":"Laps esophgl sphnctr agmntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Proc, Elbow Joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01732","description":"Anesthesia, Dx Arthroscopic Proc, Elbow Joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps esophgl sphnctr agmntj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43284","description":"Laps esophgl sphnctr agmntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps esophgl sphnctr agmntj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43284","description":"Laps esophgl sphnctr agmntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps esophgl sphnctr agmntj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43284","description":"Laps esophgl sphnctr agmntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open/Surg Arthroscopic Proc, Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01740","description":"Anesthesia, Open/Surg Arthroscopic Proc, Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Repair, Nonunion/Malunion, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01744","description":"Anesthesia, Open Proc On Humerus & Elbow; Repair, Nonunion/Malunion, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Osteotomy, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01742","description":"Anesthesia, Open Proc On Humerus & Elbow; Osteotomy, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Excision, Cyst/Tumor, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01758","description":"Anesthesia, Open Proc On Humerus & Elbow; Excision, Cyst/Tumor, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Radical Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01756","description":"Anesthesia, Open Proc On Humerus & Elbow; Radical Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl esophgl sphnctr dev","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43285","description":"Rmvl esophgl sphnctr dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl esophgl sphnctr dev","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43285","description":"Rmvl esophgl sphnctr dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl esophgl sphnctr dev","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43285","description":"Rmvl esophgl sphnctr dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl esophgl sphnctr dev","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43285","description":"Rmvl esophgl sphnctr dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc On Humerus & Elbow; Total Elbow Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01760","description":"Anesthesia, Open Proc On Humerus & Elbow; Total Elbow Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43286","description":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43286","description":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43286","description":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43286","description":"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01770","description":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43287","description":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43287","description":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43287","description":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01772","description":"Anesthesia, Proc On Arteries, Upper Arm & Elbow; Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43287","description":"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Nos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01780","description":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Cervical Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01810","description":"Division of Cervical Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43288","description":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43288","description":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43288","description":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43288","description":"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Phrenic Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01820","description":"Division of Phrenic Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Phleborrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01782","description":"Anesthesia, Proc On Veins, Upper Arm & Elbow; Phleborrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Brachial Plexus, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01830","description":"Division of Brachial Plexus, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arthroscopic Procedures, Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01829","description":"Anesthesia, Dx Arthroscopic Procedures, Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Ulnar Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01840","description":"Division of Ulnar Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Open/Surg Arthrosc/Endoscop Proc, Distl Radius/Distal Ulna/Wrist/Hand; Total Wrist Replace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01832","description":"Anes, Open/Surg Arthrosc/Endoscop Proc, Distl Radius/Distal Ulna/Wrist/Hand; Total Wrist Replace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43300","description":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43300","description":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43300","description":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43300","description":"Esophagoplasty, Cervical Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01842","description":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Median Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01850","description":"Division of Median Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Ulnar Nerve, Percutaneous Endoscopic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01844","description":"Division of Ulnar Nerve, Percutaneous Endoscopic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43305","description":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43305","description":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43305","description":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Veins, Forearm, Wrist, & Hand; Phleborrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01852","description":"Anesthesia, Proc On Veins, Forearm, Wrist, & Hand; Phleborrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43305","description":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division of Radial Nerve, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01860","description":"Division of Radial Nerve, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Phrenic Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01920","description":"Drainage of Phrenic Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arteriography/Venography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01916","description":"Anesthesia, Dx Arteriography/Venography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01922","description":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43310","description":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43310","description":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43310","description":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43310","description":"Esophagoplasty, Thoracic Approach; W/O Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43312","description":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43312","description":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43312","description":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43312","description":"Esophagoplasty, Thoracic Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Carotid/Coronary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01925","description":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Carotid/Coronary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Phrenic Nerve, Percutaneous Endoscopic Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01924","description":"Drainage of Phrenic Nerve, Percutaneous Endoscopic Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43313","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43313","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43313","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Intracranial/Intracardiac/Aortic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01926","description":"Anesthesia, Therapeutic Interventional Radiol, Arterial System; Intracranial/Intracardiac/Aortic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43313","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brachial Plexus, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01930","description":"Drainage of Brachial Plexus, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Therap Interven Radiol, Venous/Lymphatic Sys W/O Central Circ Access; Intrahepatic/Portal Circ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01931","description":"Anes, Therap Interven Radiol, Venous/Lymphatic Sys W/O Central Circ Access; Intrahepatic/Portal Circ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43314","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43314","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43314","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43314","description":"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Brachial Plexus, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01933","description":"Drainage of Brachial Plexus, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes, Therap Interven Radiol, Venous/Lymphatic System W/O Central Circ Access; Intrathoracic/Jugular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01932","description":"Anes, Therap Interven Radiol, Venous/Lymphatic System W/O Central Circ Access; Intrathoracic/Jugular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01937","description":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43325","description":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01938","description":"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43325","description":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43325","description":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43325","description":"Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43320","description":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43320","description":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43320","description":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01939","description":"Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43320","description":"Esophagogastrostomy, W/Wo Vagotomy & Pyloroplasty, Transabdominal/Transthoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01941","description":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Ulnar Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01940","description":"Drainage of Ulnar Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01942","description":"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43327","description":"Esophagogastric fundoplasty partial or complete; laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43327","description":"Esophagogastric fundoplasty partial or complete; laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43327","description":"Esophagogastric fundoplasty partial or complete; laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43327","description":"Esophagogastric fundoplasty partial or complete; laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia 2nd & 3rd Degree Burn Excision/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; <4% Tbsa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01951","description":"Anesthesia 2nd & 3rd Degree Burn Excision/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; <4% Tbsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Median Nerve, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01953","description":"Drainage of Median Nerve, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia 2nd & 3rd Degree Burn Excis/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; 4-9% Tbsa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01952","description":"Anesthesia 2nd & 3rd Degree Burn Excis/Debridement W/Wo Graft, Tbsa Treated Anesth&Surg; 4-9% Tbsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for External Cephalic Version Procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01958","description":"Anesthesia for External Cephalic Version Procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43330","description":"Esophagomyotomy; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43330","description":"Esophagomyotomy; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43330","description":"Esophagomyotomy; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43330","description":"Esophagomyotomy; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43328","description":"Esophagogastric fundoplasty partial or complete; thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43328","description":"Esophagogastric fundoplasty partial or complete; thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43328","description":"Esophagogastric fundoplasty partial or complete; thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastric fundoplasty partial or complete; thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43328","description":"Esophagogastric fundoplasty partial or complete; thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Cesarean Delivery Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01961","description":"Anesthesia For Cesarean Delivery Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Radial Nerve, Open Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01960","description":"Drainage of Radial Nerve, Open Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Urgent Hysterectomy Following Delivery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01962","description":"Anesthesia For Urgent Hysterectomy Following Delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for incomplete or missed abortion procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01965","description":"Anesthesia for incomplete or missed abortion procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43332","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43332","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43332","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43332","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for induced abortion procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01966","description":"Anesthesia for induced abortion procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of Radial Nerve, Percutaneous Approach, Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01963","description":"Drainage of Radial Nerve, Percutaneous Approach, Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43331","description":"Esophagomyotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43331","description":"Esophagomyotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43331","description":"Esophagomyotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43331","description":"Esophagomyotomy; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neuraxial Labor Analgesia/Anesthesia, Planned Vaginal Delivery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01967","description":"Neuraxial Labor Analgesia/Anesthesia, Planned Vaginal Delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01968","description":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43333","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43333","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43333","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anes For Cesarean Hysterectomy Following Neuraxial Labor Analgesia/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01969","description":"Anes For Cesarean Hysterectomy Following Neuraxial Labor Analgesia/Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43333","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Physiological Support, Harvesting, Organ(S), Brain-Dead Patient","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01990","description":"Physiological Support, Harvesting, Organ(S), Brain-Dead Patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43334","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43334","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43334","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43334","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43335","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43335","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43335","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Not In Prone Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01991","description":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Not In Prone Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43335","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Prone Position","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01992","description":"Anesthesia, Dx/Therapeutic Nerve Blocks/Injections; Prone Position","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43336","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Daily Hospital Management, Epidural/Subarachnoid Continuous Drug Administration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"01996","description":"Daily Hospital Management, Epidural/Subarachnoid Continuous Drug Administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43336","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43336","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43336","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0213T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0214T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43337","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43337","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43337","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43337","description":"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal incision, except neonatal; with im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0216T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43338","description":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43338","description":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43338","description":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43338","description":"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0218T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0217T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj ocular telescope prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0308T","description":"Insj ocular telescope prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43340","description":"Esophagojejunostomy (without total gastrectomy); abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43340","description":"Esophagojejunostomy (without total gastrectomy); abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43340","description":"Esophagojejunostomy (without total gastrectomy); abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43351","description":"Esophagostomy, fistulization of esophagus, external; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43340","description":"Esophagojejunostomy (without total gastrectomy); abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43351","description":"Esophagostomy, fistulization of esophagus, external; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43351","description":"Esophagostomy, fistulization of esophagus, external; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43351","description":"Esophagostomy, fistulization of esophagus, external; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43341","description":"Esophagojejunostomy (without total gastrectomy); thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43341","description":"Esophagojejunostomy (without total gastrectomy); thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43341","description":"Esophagojejunostomy (without total gastrectomy); thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagojejunostomy (without total gastrectomy); thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43341","description":"Esophagojejunostomy (without total gastrectomy); thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43352","description":"Esophagostomy, fistulization of esophagus, external; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43352","description":"Esophagostomy, fistulization of esophagus, external; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43352","description":"Esophagostomy, fistulization of esophagus, external; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Esophagostomy, fistulization of esophagus, external; cervical approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43352","description":"Esophagostomy, fistulization of esophagus, external; cervical approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43361","description":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43361","description":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43361","description":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43361","description":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43360","description":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43360","description":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43360","description":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43360","description":"Gi Reconstruction, Prior Esophagectomy; W/Stomach, W/Wo Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, direct, esophageal varices","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43400","description":"Ligation, direct, esophageal varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, direct, esophageal varices","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43400","description":"Ligation, direct, esophageal varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, direct, esophageal varices","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43400","description":"Ligation, direct, esophageal varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation, direct, esophageal varices","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43400","description":"Ligation, direct, esophageal varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0569T","description":"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43405","description":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43405","description":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43405","description":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43405","description":"Ligation/Stapling At Gastroesophageal Junction, Pre-Existing Esophageal Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0570T","description":"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0620T","description":"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy ab interno by laser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0621T","description":"Trabeculostomy ab interno by laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43410","description":"Suture, Esophageal Wound/Injury; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43410","description":"Suture, Esophageal Wound/Injury; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43410","description":"Suture, Esophageal Wound/Injury; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43415","description":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43410","description":"Suture, Esophageal Wound/Injury; Cervical Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43415","description":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43415","description":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43415","description":"Suture, Esophageal Wound/Injury; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43425","description":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy ab interno by laser; with use of ophthalmic endoscope","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0622T","description":"Trabeculostomy ab interno by laser; with use of ophthalmic endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43425","description":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43425","description":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43425","description":"Closure, Esophagostomy/Fistula; Transthoracic/Transabdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0656T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with exploration or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43500","description":"Gastrotomy; with exploration or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0657T","description":"Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with exploration or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43500","description":"Gastrotomy; with exploration or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with exploration or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43500","description":"Gastrotomy; with exploration or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with exploration or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43500","description":"Gastrotomy; with exploration or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum transfer with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43496","description":"Free jejunum transfer with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum transfer with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43496","description":"Free jejunum transfer with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum transfer with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43496","description":"Free jejunum transfer with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum transfer with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43496","description":"Free jejunum transfer with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of bleeding ulcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43501","description":"Gastrotomy; with suture repair of bleeding ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of bleeding ulcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43501","description":"Gastrotomy; with suture repair of bleeding ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of bleeding ulcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43501","description":"Gastrotomy; with suture repair of bleeding ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0661T","description":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of bleeding ulcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43501","description":"Gastrotomy; with suture repair of bleeding ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43502","description":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43502","description":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43502","description":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43502","description":"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43520","description":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43520","description":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43520","description":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43520","description":"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43510","description":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43510","description":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43510","description":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43510","description":"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Stomach; Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43605","description":"Bx, Stomach; Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Stomach; Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43605","description":"Bx, Stomach; Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Stomach; Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43605","description":"Bx, Stomach; Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0671T","description":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Stomach; Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43605","description":"Bx, Stomach; Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, posterior chamber of eye, medication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0699T","description":"Injection, posterior chamber of eye, medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0707T","description":"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; ulcer or benign tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43610","description":"Excision, local; ulcer or benign tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; ulcer or benign tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43610","description":"Excision, local; ulcer or benign tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; ulcer or benign tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43610","description":"Excision, local; ulcer or benign tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; ulcer or benign tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43610","description":"Excision, local; ulcer or benign tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0717T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; malignant tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43611","description":"Excision, local; malignant tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; malignant tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43611","description":"Excision, local; malignant tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; malignant tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43611","description":"Excision, local; malignant tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, local; malignant tumor of stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43611","description":"Excision, local; malignant tumor of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with esophagoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43620","description":"Gastrectomy, total; with esophagoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with esophagoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43620","description":"Gastrectomy, total; with esophagoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with esophagoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43620","description":"Gastrectomy, total; with esophagoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular device implantation, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0725T","description":"Vestibular device implantation, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with esophagoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43620","description":"Gastrectomy, total; with esophagoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0726T","description":"Removal of implanted vestibular device, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0719T","description":"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of implanted vestibular device, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0727T","description":"Removal and replacement of implanted vestibular device, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43621","description":"Gastrectomy, total; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43621","description":"Gastrectomy, total; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43621","description":"Gastrectomy, total; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43621","description":"Gastrectomy, total; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant, unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant, unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0730T","description":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant, unilateral; with initial programming","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0728T","description":"Diagnostic analysis of vestibular implant, unilateral; with initial programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with formation of intestinal pouch, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43622","description":"Gastrectomy, total; with formation of intestinal pouch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with formation of intestinal pouch, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43622","description":"Gastrectomy, total; with formation of intestinal pouch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with formation of intestinal pouch, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43622","description":"Gastrectomy, total; with formation of intestinal pouch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43631","description":"Gastrectomy, partial, distal; with gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, total; with formation of intestinal pouch, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43622","description":"Gastrectomy, total; with formation of intestinal pouch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43631","description":"Gastrectomy, partial, distal; with gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43631","description":"Gastrectomy, partial, distal; with gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43631","description":"Gastrectomy, partial, distal; with gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0735T","description":"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastrojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43632","description":"Gastrectomy, partial, distal; with gastrojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastrojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43632","description":"Gastrectomy, partial, distal; with gastrojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastrojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43632","description":"Gastrectomy, partial, distal; with gastrojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with gastrojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43632","description":"Gastrectomy, partial, distal; with gastrojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43633","description":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43633","description":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43633","description":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43633","description":"Gastrectomy, partial, distal; with Roux-en-Y reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with formation of intestinal pouch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43634","description":"Gastrectomy, partial, distal; with formation of intestinal pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with formation of intestinal pouch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43634","description":"Gastrectomy, partial, distal; with formation of intestinal pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with formation of intestinal pouch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43634","description":"Gastrectomy, partial, distal; with formation of intestinal pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrectomy, partial, distal; with formation of intestinal pouch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43634","description":"Gastrectomy, partial, distal; with formation of intestinal pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43635","description":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0744T","description":"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43635","description":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43635","description":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43635","description":"Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43640","description":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0790T","description":"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43640","description":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43640","description":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43640","description":"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43641","description":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43641","description":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43641","description":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43644","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43644","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43641","description":"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43644","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43644","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0857T","description":"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43645","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43645","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43645","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43645","description":"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43647","description":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43647","description":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43647","description":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0869T","description":"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43647","description":"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0876T","description":"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0882T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43648","description":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43648","description":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43648","description":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43648","description":"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0888T","description":"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11450","description":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"10035","description":"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, truncal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43651","description":"Laparoscopy, surgical; transection of vagus nerves, truncal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, truncal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43651","description":"Laparoscopy, surgical; transection of vagus nerves, truncal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, truncal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43651","description":"Laparoscopy, surgical; transection of vagus nerves, truncal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, truncal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43651","description":"Laparoscopy, surgical; transection of vagus nerves, truncal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43652","description":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43652","description":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43652","description":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43652","description":"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11451","description":"Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/Complex Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43653","description":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11462","description":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43653","description":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43653","description":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43653","description":"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of tissue expander with permanent implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11970","description":"Replacement of tissue expander with permanent implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11463","description":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tissue expander without insertion of implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"11971","description":"Removal of tissue expander without insertion of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12018","description":"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12047","description":"Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43754","description":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43754","description":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43754","description":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43754","description":"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"12057","description":"Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr addl 30 sq cm/&lt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14302","description":"Tis trnfr addl 30 sq cm/&lt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"14301","description":"\"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15734","description":"Muscle, myocutaneous, or fasciocutaneous flap; trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15738","description":"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flap; neurovascular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15750","description":"Flap; neurovascular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15757","description":"Free skin flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free muscle or myocutaneous flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15756","description":"Free muscle or myocutaneous flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap with microvascular anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15758","description":"Free fascial flap with microvascular anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43755","description":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43755","description":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43755","description":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43755","description":"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft; derma-fat-fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15770","description":"Graft; derma-fat-fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15777","description":"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43756","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43756","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43756","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43757","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43107","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Pharyngogastrostomy/Cervical Esophagogastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43757","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43757","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, lower eyelid;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15820","description":"Blepharoplasty, lower eyelid;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43756","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43757","description":"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, lower eyelid; with extensive herniated fat pad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15821","description":"Blepharoplasty, lower eyelid; with extensive herniated fat pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, upper eyelid;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15822","description":"Blepharoplasty, upper eyelid;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43770","description":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Blepharoplasty, upper eyelid; with excessive skin weighting down lid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15823","description":"Blepharoplasty, upper eyelid; with excessive skin weighting down lid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43770","description":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43770","description":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; forehead","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15824","description":"Rhytidectomy; forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43770","description":"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15825","description":"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43771","description":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43771","description":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43771","description":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43771","description":"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27090","description":"Removal, Hip Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; glabellar frown lines","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15826","description":"Rhytidectomy; glabellar frown lines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15829","description":"Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43772","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhytidectomy; cheek, chin, and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15828","description":"Rhytidectomy; cheek, chin, and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43772","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43772","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43772","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27091","description":"Removal, Hip Prosthesis; Complicated, W/Total Hip Prosthesis. Methylmethacrylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for hip arthrography; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27093","description":"Injection procedure for hip arthrography; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43773","description":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43773","description":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43773","description":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for hip arthrography; with anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27095","description":"Injection procedure for hip arthrography; with anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43773","description":"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27096","description":"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15832","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43774","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43774","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43774","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15830","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43774","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15834","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15833","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43800","description":"Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (including lipectomy); arm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15836","description":"Excision, excessive skin and subcutaneous tissue (including lipectomy); arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43800","description":"Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43800","description":"Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyloroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43800","description":"Pyloroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43775","description":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43775","description":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43775","description":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43775","description":"\"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15841","description":"Graft, Facial Nerve Paralysis; Free Muscle Graft (W/Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43810","description":"Gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43810","description":"Gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43810","description":"Gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43810","description":"Gastroduodenostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release/Recession, Hamstring, Proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27097","description":"Release/Recession, Hamstring, Proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15842","description":"Graft, Facial Nerve Paralysis; Free Muscle Flap, Microsurgical Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; without vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43820","description":"Gastrojejunostomy; without vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; without vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43820","description":"Gastrojejunostomy; without vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; without vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43820","description":"Gastrojejunostomy; without vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; without vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43820","description":"Gastrojejunostomy; without vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15845","description":"Graft, Facial Nerve Paralysis; Regional Muscle Transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, adductor to ischium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27098","description":"Transfer, adductor to ischium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; with vagotomy, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43825","description":"Gastrojejunostomy; with vagotomy, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; with vagotomy, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43825","description":"Gastrojejunostomy; with vagotomy, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; with vagotomy, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43825","description":"Gastrojejunostomy; with vagotomy, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrojejunostomy; with vagotomy, any type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43825","description":"Gastrojejunostomy; with vagotomy, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15847","description":"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27100","description":"Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suction assisted lipectomy; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15878","description":"Suction assisted lipectomy; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27105","description":"Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43830","description":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43830","description":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43830","description":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43830","description":"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suction assisted lipectomy; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15879","description":"Suction assisted lipectomy; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; neonatal, for feeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43831","description":"Gastrostomy, open; neonatal, for feeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; neonatal, for feeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43831","description":"Gastrostomy, open; neonatal, for feeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; neonatal, for feeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43831","description":"Gastrostomy, open; neonatal, for feeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; neonatal, for feeding","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43831","description":"Gastrostomy, open; neonatal, for feeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15922","description":"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27110","description":"Transfer iliopsoas; to greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43832","description":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43832","description":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43832","description":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43832","description":"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43840","description":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43840","description":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43840","description":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43840","description":"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15935","description":"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, trochanteric pressure ulcer, with skin flap closure;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"15952","description":"Excision, trochanteric pressure ulcer, with skin flap closure;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer iliopsoas; to femoral neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27111","description":"Transfer iliopsoas; to femoral neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastotomy with exploration or drainage of abscess, deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19020","description":"Mastotomy with exploration or drainage of abscess, deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure only for mammary ductogram or galactogram","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19030","description":"Injection procedure only for mammary ductogram or galactogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19081","description":"Bx breast 1st lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43843","description":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43843","description":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43843","description":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43843","description":"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27120","description":"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19083","description":"Bx breast 1st lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43845","description":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43845","description":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43845","description":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43845","description":"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43846","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43846","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43846","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43846","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27122","description":"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Breast; Percut, Needle Core, Not Using Imaging Guidance (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19100","description":"Bx, Breast; Percut, Needle Core, Not Using Imaging Guidance (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Breast; Open Incisional","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19101","description":"Bx, Breast; Open Incisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurg ablate fa each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19105","description":"Cryosurg ablate fa each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43847","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43847","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43847","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43847","description":"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit abso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19110","description":"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lactiferous Duct Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19112","description":"Excision, Lactiferous Duct Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27125","description":"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19120","description":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Breast Lesion, Preop Placement, Radiological Marker, Open; Single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19125","description":"Excision, Breast Lesion, Preop Placement, Radiological Marker, Open; Single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43848","description":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43848","description":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43848","description":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43848","description":"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric band (separate proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19281","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43860","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43860","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43860","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43860","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/O Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27132","description":"Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19283","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19285","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fir","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19287","description":"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; fir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43865","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43865","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43865","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43865","description":"Revision, Gastrojejunal Anastomosis W/Reconstruction W/Wo Part Gastrect/Bowel Resect; W/Vagotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrostomy, Surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43870","description":"Closure, Gastrostomy, Surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrostomy, Surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43870","description":"Closure, Gastrostomy, Surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrostomy, Surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43870","description":"Closure, Gastrostomy, Surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrostomy, Surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43870","description":"Closure, Gastrostomy, Surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application follow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19296","description":"Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application follow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the tim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19298","description":"Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the tim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19300","description":"Removal of breast tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43880","description":"Closure, Gastrocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43880","description":"Closure, Gastrocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43880","description":"Closure, Gastrocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Gastrocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43880","description":"Closure, Gastrocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial mastectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19301","description":"Partial mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43881","description":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43881","description":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43881","description":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43881","description":"Implantation or replacement of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"P-MASTECTOMY W/LN REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19302","description":"P-MASTECTOMY W/LN REMOVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27138","description":"Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27140","description":"Osteotomy and transfer of greater trochanter of femur (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43882","description":"Revision or removal of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43882","description":"Revision or removal of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43882","description":"Revision or removal of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of gastric neurostimulator electrodes, antrum, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43882","description":"Revision or removal of gastric neurostimulator electrodes, antrum, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, simple, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19303","description":"Mastectomy, simple, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27146","description":"Osteotomy, iliac, acetabular or innominate bone;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; revision of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43886","description":"Gastric restrictive procedure, open; revision of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; revision of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43886","description":"Gastric restrictive procedure, open; revision of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; revision of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43886","description":"Gastric restrictive procedure, open; revision of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; revision of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43886","description":"Gastric restrictive procedure, open; revision of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43887","description":"Gastric restrictive procedure, open; removal of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43887","description":"Gastric restrictive procedure, open; removal of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43887","description":"Gastric restrictive procedure, open; removal of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43887","description":"Gastric restrictive procedure, open; removal of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19306","description":"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19305","description":"Mastectomy, radical, including pectoral muscles, axillary lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27147","description":"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19307","description":"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43888","description":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43888","description":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43888","description":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"43888","description":"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27151","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44005","description":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44005","description":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44005","description":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44005","description":"Enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44010","description":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44010","description":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44010","description":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44010","description":"Duodenotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27156","description":"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mastopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19316","description":"Mastopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44015","description":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44015","description":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44015","description":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44015","description":"Tube/Needle Catheter Jejunostomy, Enteral Alimentation, Intraoperative, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27158","description":"Osteotomy, pelvis, bilateral (eg, congenital malformation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19318","description":"Breast reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast augmentation with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19325","description":"Breast augmentation with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44020","description":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44020","description":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44020","description":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44020","description":"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intact breast implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19328","description":"Removal of intact breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19330","description":"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of breast implant on same day of mastectomy (ie, immediate)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19340","description":"Insertion of breast implant on same day of mastectomy (ie, immediate)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femoral neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27161","description":"Osteotomy, femoral neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nipple/areola reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19350","description":"Nipple/areola reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44021","description":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44021","description":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of breast implant on separate day from mastectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19342","description":"Insertion or replacement of breast implant on separate day from mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44021","description":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44021","description":"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27165","description":"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Inverted Nipples","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19355","description":"Correction, Inverted Nipples","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44025","description":"Colotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44025","description":"Colotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44025","description":"Colotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colotomy, for exploration, biopsy(s), or foreign body removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44025","description":"Colotomy, for exploration, biopsy(s), or foreign body removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44050","description":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44050","description":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44050","description":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44050","description":"Reduction, Volvulus, Intussusception, Int Hernia, Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27170","description":"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Traction, W/O Reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27175","description":"Treatment, Slipped Femoral Epiphysis; Traction, W/O Reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19357","description":"Tissue expander placement in breast reconstruction, including subsequent expansion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44055","description":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44055","description":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44055","description":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44055","description":"Correction, Malrotation, Lysis, Duodenal Bands &/Or Reduction Volvulus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44110","description":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44110","description":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44110","description":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44110","description":"Excision, 1+ Lesion, Small/Large Bowel; Single Enterotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27176","description":"Treatment, Slipped Femoral Epiphysis; Single/Multiple Pinning, In Situ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19364","description":"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44111","description":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44111","description":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44111","description":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44111","description":"Excision, 1+ Lesion, Small/Large Bowel; Multiple Enterotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27177","description":"Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44120","description":"Enterectomy, resection of small intestine; single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44120","description":"Enterectomy, resection of small intestine; single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44120","description":"Enterectomy, resection of small intestine; single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44120","description":"Enterectomy, resection of small intestine; single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27178","description":"Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19367","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44121","description":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44121","description":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44121","description":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44121","description":"Enterectomy, resection of small intestine; each additional resection and anastomosis.  (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27179","description":"Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19368","description":"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; with enterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44125","description":"Enterectomy, resection of small intestine; with enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; with enterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44125","description":"Enterectomy, resection of small intestine; with enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; with enterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44125","description":"Enterectomy, resection of small intestine; with enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine; with enterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44125","description":"Enterectomy, resection of small intestine; with enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19370","description":"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19369","description":"Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27181","description":"Open treatment of slipped femoral epiphysis; osteotomy and internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27185","description":"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44126","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44126","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44126","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44126","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19371","description":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19380","description":"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27187","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proxim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44127","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44127","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44127","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44127","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44128","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44128","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44128","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44128","description":"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Preparation, Moulage, Custom Breast Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19396","description":"Preparation, Moulage, Custom Breast Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, breast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"19499","description":"Unlisted procedure, breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of coccygeal fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27202","description":"Open treatment of coccygeal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44130","description":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44130","description":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44130","description":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44130","description":"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acetabulum (hip socket) fracture(s); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27220","description":"Closed treatment of acetabulum (hip socket) fracture(s); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27222","description":"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20100","description":"Exploration, Penetrating Wound (Sep Proc); Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of transplanted intestinal allograft, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44137","description":"Removal of transplanted intestinal allograft, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of transplanted intestinal allograft, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44137","description":"Removal of transplanted intestinal allograft, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of transplanted intestinal allograft, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44137","description":"Removal of transplanted intestinal allograft, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of transplanted intestinal allograft, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44137","description":"Removal of transplanted intestinal allograft, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20150","description":"Excision, Epiphyseal Bar, W/Wo Autogenous Soft Tissue Graft, Same Fascial Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27226","description":"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Vertebral Body, Open; Lumbar/Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20251","description":"Bx, Vertebral Body, Open; Lumbar/Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ther injection carp tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20526","description":"Ther injection carp tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization, Splenic Flexure, W/Partial Colectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44139","description":"Mobilization, Splenic Flexure, W/Partial Colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization, Splenic Flexure, W/Partial Colectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44139","description":"Mobilization, Splenic Flexure, W/Partial Colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization, Splenic Flexure, W/Partial Colectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44139","description":"Mobilization, Splenic Flexure, W/Partial Colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization, Splenic Flexure, W/Partial Colectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44139","description":"Mobilization, Splenic Flexure, W/Partial Colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27227","description":"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44140","description":"Colectomy, partial; with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44140","description":"Colectomy, partial; with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44140","description":"Colectomy, partial; with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44140","description":"Colectomy, partial; with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20527","description":"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27228","description":"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, neck; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27230","description":"Closed treatment of femoral fracture, proximal end, neck; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27232","description":"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of femoral fracture, proximal end, neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27235","description":"Percutaneous skeletal fixation of femoral fracture, proximal end, neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with skin level cecostomy or colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44141","description":"Colectomy, partial; with skin level cecostomy or colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with skin level cecostomy or colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44141","description":"Colectomy, partial; with skin level cecostomy or colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with skin level cecostomy or colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44141","description":"Colectomy, partial; with skin level cecostomy or colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with skin level cecostomy or colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44141","description":"Colectomy, partial; with skin level cecostomy or colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20550","description":"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20600","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20604","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20605","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44143","description":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44143","description":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44143","description":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44143","description":"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20610","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20611","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27238","description":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44144","description":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44144","description":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44144","description":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44144","description":"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with manipulation, with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27240","description":"Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with manipulation, with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44145","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44145","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44145","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44145","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Halo, W/Removal; Femoral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20663","description":"Application, Halo, W/Removal; Femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27244","description":"Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/Plate/Screw Type Implant, W/Wo Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27245","description":"Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20696","description":"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44146","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44146","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44146","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44146","description":"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; abdominal and transanal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44147","description":"Colectomy, partial; abdominal and transanal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; abdominal and transanal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44147","description":"Colectomy, partial; abdominal and transanal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; abdominal and transanal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44147","description":"Colectomy, partial; abdominal and transanal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial; abdominal and transanal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44147","description":"Colectomy, partial; abdominal and transanal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44150","description":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44150","description":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44150","description":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44150","description":"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of greater trochanteric fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27246","description":"Closed treatment of greater trochanteric fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20802","description":"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44151","description":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44151","description":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44151","description":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44151","description":"Colectomy, total, abdominal, without proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27248","description":"Open treatment of greater trochanteric fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of hip dislocation, traumatic; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27250","description":"Closed treatment of hip dislocation, traumatic; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20805","description":"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of hip dislocation, traumatic; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27252","description":"Closed treatment of hip dislocation, traumatic; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27253","description":"Open treatment of hip dislocation, traumatic, without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44155","description":"Colectomy, total, abdominal, with proctectomy; with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44155","description":"Colectomy, total, abdominal, with proctectomy; with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44155","description":"Colectomy, total, abdominal, with proctectomy; with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44155","description":"Colectomy, total, abdominal, with proctectomy; with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20808","description":"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27254","description":"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20816","description":"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), comple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44156","description":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44156","description":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44156","description":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44156","description":"Colectomy, total, abdominal, with proctectomy; with continent ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44157","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44157","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44157","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44157","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20822","description":"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/O Anesthesia, W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27256","description":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/O Anesthesia, W/O Manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/Anesthesia, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27257","description":"Treatment, Spontaneous Hip Dislocation, Abduction, Splint/Traction; W/Anesthesia, W/Manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27258","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44158","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44158","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44158","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44158","description":"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20824","description":"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27259","description":"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44160","description":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44160","description":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44160","description":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44160","description":"Colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of post hip arthroplasty dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27265","description":"Closed treatment of post hip arthroplasty dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, thumb (includes distal tip to MP joint), complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20827","description":"Replantation, thumb (includes distal tip to MP joint), complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27266","description":"Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44180","description":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44180","description":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44180","description":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44180","description":"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44186","description":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44186","description":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44186","description":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44186","description":"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, foot, complete amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20838","description":"Replantation, foot, complete amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27267","description":"Closed treatment of femoral fracture, proximal end, head; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44187","description":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; minor or small (eg, dowel or button)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20900","description":"Bone graft, any donor area; minor or small (eg, dowel or button)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44187","description":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44187","description":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44187","description":"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, proximal end, head; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27268","description":"Closed treatment of femoral fracture, proximal end, head; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft, any donor area; major or large","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20902","description":"Bone graft, any donor area; major or large","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colostomy or skin level cecostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44188","description":"Laparoscopy, surgical, colostomy or skin level cecostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colostomy or skin level cecostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44188","description":"Laparoscopy, surgical, colostomy or skin level cecostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colostomy or skin level cecostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44188","description":"Laparoscopy, surgical, colostomy or skin level cecostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colostomy or skin level cecostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44188","description":"Laparoscopy, surgical, colostomy or skin level cecostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27269","description":"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fascia lata graft; by incision and area exposure, complex or sheet","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20922","description":"Fascia lata graft; by incision and area exposure, complex or sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44202","description":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44202","description":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44202","description":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44202","description":"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without place","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27278","description":"Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44203","description":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44203","description":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44203","description":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44203","description":"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20924","description":"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44204","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44204","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44204","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44204","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44205","description":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44205","description":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27279","description":"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44205","description":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44205","description":"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20932","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20933","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20934","description":"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44206","description":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44206","description":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44206","description":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44206","description":"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44207","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, symphysis pubis (including obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27282","description":"Arthrodesis, symphysis pubis (including obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44207","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44207","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44207","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44208","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44208","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44208","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44208","description":"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27284","description":"Arthrodesis, hip joint (including obtaining graft);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44210","description":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44210","description":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44210","description":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44211","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44210","description":"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44211","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44211","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20939","description":"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44211","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20955","description":"Bone graft with microvascular anastomosis; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27286","description":"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44212","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44212","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44212","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44212","description":"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interpelviabdominal amputation (hindquarter amputation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27290","description":"Interpelviabdominal amputation (hindquarter amputation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20956","description":"Bone graft with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27295","description":"Disarticulation, Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20957","description":"Bone graft with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44213","description":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44213","description":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44213","description":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44213","description":"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44227","description":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44227","description":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44227","description":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44227","description":"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess,&nbsp;bursa, or hematoma, thigh or knee region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27301","description":"Incision and drainage, deep abscess,&nbsp;bursa, or hematoma, thigh or knee region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20962","description":"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20969","description":"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomy/Cecostomy, Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44300","description":"Enterostomy/Cecostomy, Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomy/Cecostomy, Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44300","description":"Enterostomy/Cecostomy, Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomy/Cecostomy, Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44300","description":"Enterostomy/Cecostomy, Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomy/Cecostomy, Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44300","description":"Enterostomy/Cecostomy, Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27303","description":"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20970","description":"Free osteocutaneous flap with microvascular anastomosis; iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44310","description":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, iliotibial (tenotomy), open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27305","description":"Fasciotomy, iliotibial (tenotomy), open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44310","description":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44310","description":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44310","description":"Ileostomy/Jejunostomy, Non-Tube (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27307","description":"Tenotomy, percutaneous, adductor or hamstring; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44314","description":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27306","description":"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44314","description":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44314","description":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44314","description":"Revision, Ileostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent ileostomy (Kock procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44316","description":"Continent ileostomy (Kock procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent ileostomy (Kock procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44316","description":"Continent ileostomy (Kock procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent ileostomy (Kock procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44316","description":"Continent ileostomy (Kock procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent ileostomy (Kock procedure) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44316","description":"Continent ileostomy (Kock procedure) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20972","description":"Free osteocutaneous flap with microvascular anastomosis; metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44320","description":"Colostomy/Skin Level Cecostomy; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44320","description":"Colostomy/Skin Level Cecostomy; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44320","description":"Colostomy/Skin Level Cecostomy; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44320","description":"Colostomy/Skin Level Cecostomy; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20973","description":"Free osteocutaneous flap with microvascular anastomosis; great toe with web space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Thigh/Knee Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27323","description":"Bx, Soft Tissue, Thigh/Knee Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27310","description":"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Thigh/Knee Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27324","description":"Bx, Soft Tissue, Thigh/Knee Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44322","description":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44322","description":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44322","description":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44322","description":"Colostomy/Skin Level Cecostomy; W/Multiple Biopsies (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation to aid bone healing; invasive (operative)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20975","description":"Electrical stimulation to aid bone healing; invasive (operative)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, percutaneous, including computed tomographic g","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20982","description":"Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, percutaneous, including computed tomographic g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"20983","description":"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44345","description":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44345","description":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44345","description":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44345","description":"Revision, Colostomy; Complicated (Reconstruction In-Depth) (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, hamstring muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27325","description":"Neurectomy, hamstring muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44346","description":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44346","description":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, temporomandibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21010","description":"Arthrotomy, temporomandibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44346","description":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44346","description":"Revision, Colostomy; W/Repair, Paracolostomy Hernia (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, popliteal (gastrocnemius)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27326","description":"Neurectomy, popliteal (gastrocnemius)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Single Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44602","description":"Suture, Small Intestine; Single Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Single Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44602","description":"Suture, Small Intestine; Single Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Single Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44602","description":"Suture, Small Intestine; Single Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Single Perforation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44602","description":"Suture, Small Intestine; Single Perforation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, thigh or knee area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27327","description":"Excision, tumor, thigh or knee area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc &lt;2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21011","description":"Exc face les sc &lt;2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27328","description":"Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21012","description":"Exc face les sbq 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Multiple Perforations","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44603","description":"Suture, Small Intestine; Multiple Perforations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Multiple Perforations","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44603","description":"Suture, Small Intestine; Multiple Perforations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Multiple Perforations","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44603","description":"Suture, Small Intestine; Multiple Perforations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Multiple Perforations","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44603","description":"Suture, Small Intestine; Multiple Perforations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep &lt; 2 cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21013","description":"Exc face tum deep &lt; 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27329","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/O Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44604","description":"Suture, Large Intestine; W/O Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/O Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44604","description":"Suture, Large Intestine; W/O Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/O Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44604","description":"Suture, Large Intestine; W/O Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/O Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44604","description":"Suture, Large Intestine; W/O Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/&gt;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21014","description":"Exc face tum deep 2 cm/&gt;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44605","description":"Suture, Large Intestine; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44605","description":"Suture, Large Intestine; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44605","description":"Suture, Large Intestine; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44605","description":"Suture, Large Intestine; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27330","description":"Arthrotomy, knee; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44615","description":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44615","description":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44615","description":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44615","description":"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21016","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27331","description":"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21030","description":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44620","description":"Closure, Enterostomy, Large/Small Intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44620","description":"Closure, Enterostomy, Large/Small Intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44620","description":"Closure, Enterostomy, Large/Small Intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44620","description":"Closure, Enterostomy, Large/Small Intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21031","description":"Remove exostosis mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27332","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44625","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44625","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44625","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44625","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Anastomosis, Non-Colorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Maxilla/Zygoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21034","description":"Excision, Malignant Tumor, Maxilla/Zygoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44626","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44626","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44626","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44626","description":"Closure, Enterostomy, Large/Small Intestine; W/Resection & Colorectal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27333","description":"Arthrotomy,&nbsp;with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21044","description":"Excision, Malignant Tumor, Mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Intestinal Cutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44640","description":"Closure, Intestinal Cutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Intestinal Cutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44640","description":"Closure, Intestinal Cutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Intestinal Cutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44640","description":"Closure, Intestinal Cutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Intestinal Cutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44640","description":"Closure, Intestinal Cutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21047","description":"Excision, Benign Tumor/Cyst, Mandible; Extra-Oral Osteotomy & Partial Mandibulectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, knee; anterior OR posterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27334","description":"Arthrotomy, with synovectomy, knee; anterior OR posterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enteroenteric/Enterocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44650","description":"Closure, Enteroenteric/Enterocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enteroenteric/Enterocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44650","description":"Closure, Enteroenteric/Enterocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enteroenteric/Enterocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44650","description":"Closure, Enteroenteric/Enterocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enteroenteric/Enterocolic Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44650","description":"Closure, Enteroenteric/Enterocolic Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27335","description":"Arthrotomy,&nbsp;with synovectomy, knee; anterior AND posterior including popliteal area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44660","description":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44660","description":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44660","description":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44660","description":"Closure, Enterovesical Fistula; W/O Intestinal/Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44661","description":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44661","description":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44661","description":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44661","description":"Closure, Enterovesical Fistula; W/Intestine &/Or Bladder Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27337","description":"\"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21049","description":"Excision, Benign Tumor/Cyst, Maxilla; Extra-Oral Osteotomy & Partial Maxillectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Condylectomy, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21050","description":"Condylectomy, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal plication (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44680","description":"Intestinal plication (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal plication (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44680","description":"Intestinal plication (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal plication (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44680","description":"Intestinal plication (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal plication (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44680","description":"Intestinal plication (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, prepatellar bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27340","description":"Excision, prepatellar bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27339","description":"\"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44700","description":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44700","description":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44700","description":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44700","description":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21060","description":"Meniscectomy, partial or complete, temporomandibular joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Mnpj of tmj w/anesth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21073","description":"Mnpj of tmj w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronoidectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21070","description":"Coronoidectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21077","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44701","description":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44701","description":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44701","description":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44701","description":"Intraoperative colonic lavage (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Meniscus/Capsule, Knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27347","description":"Excision, Lesion, Meniscus/Capsule, Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21086","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44715","description":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44715","description":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44715","description":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44715","description":"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for temporomandibular joint arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21116","description":"Injection procedure for temporomandibular joint arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomy, single piece","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21121","description":"Genioplasty; sliding osteotomy, single piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44720","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21122","description":"Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44720","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44720","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44721","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44720","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44721","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44721","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44721","description":"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44800","description":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21123","description":"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44800","description":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44800","description":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44800","description":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27355","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21125","description":"Augmentation, mandibular body or angle; prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44820","description":"Excision, Lesion, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44820","description":"Excision, Lesion, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44820","description":"Excision, Lesion, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44820","description":"Excision, Lesion, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44850","description":"Suture, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44850","description":"Suture, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44850","description":"Suture, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44850","description":"Suture, Mesentery (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27357","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Femur; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21127","description":"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21137","description":"Reduction forehead; contouring only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21138","description":"Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of appendiceal abscess; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44900","description":"Incision and drainage of appendiceal abscess; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of appendiceal abscess; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44900","description":"Incision and drainage of appendiceal abscess; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of appendiceal abscess; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44900","description":"Incision and drainage of appendiceal abscess; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of appendiceal abscess; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44900","description":"Incision and drainage of appendiceal abscess; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction forehead; contouring and setback of anterior frontal sinus wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21139","description":"Reduction forehead; contouring and setback of anterior frontal sinus wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44950","description":"Appendectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44950","description":"Appendectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44950","description":"Appendectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44950","description":"Appendectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21141","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, (eg, for Long Face Syndrome), without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27364","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27360","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27365","description":"Radical resection of tumor, bone, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21142","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44955","description":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44955","description":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44955","description":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27369","description":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44955","description":"Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Deep, Thigh Region/Knee Area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27372","description":"Removal, Fb, Deep, Thigh Region/Knee Area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44960","description":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44960","description":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44960","description":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, appendectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44970","description":"Laparoscopy, surgical, appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, appendectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44970","description":"Laparoscopy, surgical, appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44960","description":"Appendectomy; for ruptured appendix with abscess or generalized peritonitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, appendectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44970","description":"Laparoscopy, surgical, appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, appendectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44970","description":"Laparoscopy, surgical, appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21143","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21145","description":"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45110","description":"Proctectomy; complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45110","description":"Proctectomy; complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45110","description":"Proctectomy; complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45110","description":"Proctectomy; complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27380","description":"Suture, Infrapatellar Tendon; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21146","description":"Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaini","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27381","description":"Suture, Infrapatellar Tendon; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; partial resection of rectum, transabdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45111","description":"Proctectomy; partial resection of rectum, transabdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; partial resection of rectum, transabdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45111","description":"Proctectomy; partial resection of rectum, transabdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; partial resection of rectum, transabdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45111","description":"Proctectomy; partial resection of rectum, transabdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy; partial resection of rectum, transabdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45111","description":"Proctectomy; partial resection of rectum, transabdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21147","description":"Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27385","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45112","description":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45112","description":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45112","description":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45112","description":"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21150","description":"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45113","description":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45113","description":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45113","description":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45113","description":"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21151","description":"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27386","description":"Suture, Quadriceps/Hamstring Muscle Rupture; Secondary Reconstruction, W/Fascial/Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21154","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45114","description":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45114","description":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45114","description":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45114","description":"Proctectomy, partial, with anastomosis; abdominal and transsacral approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27390","description":"Tenotomy, open, hamstring, knee to hip; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21155","description":"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21159","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27392","description":"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Single Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27393","description":"Lengthening, Hamstring Tendon; Single Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45116","description":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45116","description":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45116","description":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45116","description":"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21160","description":"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone gr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45119","description":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45119","description":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45119","description":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45120","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45120","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45119","description":"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic rese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45120","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45120","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21172","description":"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45121","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45121","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45121","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45121","description":"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21175","description":"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27395","description":"Lengthening, Hamstring Tendon; Multiple Tendons, Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, without anastomosis, perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45123","description":"Proctectomy, partial, without anastomosis, perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, without anastomosis, perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45123","description":"Proctectomy, partial, without anastomosis, perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, without anastomosis, perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45123","description":"Proctectomy, partial, without anastomosis, perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctectomy, partial, without anastomosis, perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45123","description":"Proctectomy, partial, without anastomosis, perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplant, hamstring tendon to patella; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27396","description":"Transplant, hamstring tendon to patella; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45126","description":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45126","description":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45126","description":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45126","description":"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45130","description":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45130","description":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45130","description":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45130","description":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27400","description":"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45135","description":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45135","description":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45135","description":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45135","description":"Excision, Rectal Procidentia, W/Anastomosis; Abdominal & Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with meniscus repair, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27403","description":"Arthrotomy with meniscus repair, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ileoanal Reservoir W/Ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45136","description":"Excision, Ileoanal Reservoir W/Ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ileoanal Reservoir W/Ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45136","description":"Excision, Ileoanal Reservoir W/Ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ileoanal Reservoir W/Ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45136","description":"Excision, Ileoanal Reservoir W/Ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ileoanal Reservoir W/Ileostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45136","description":"Excision, Ileoanal Reservoir W/Ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45160","description":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45160","description":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45160","description":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45160","description":"Excision, Rectal Tumor, Proctotomy, Transsacral/Transcoccygeal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27405","description":"Repair, primary, torn ligament and/or capsule, knee; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; cruciate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27407","description":"Repair, primary, torn ligament and/or capsule, knee; cruciate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45171","description":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45171","description":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45171","description":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45171","description":"\"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21179","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27409","description":"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21180","description":"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21182","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45172","description":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45172","description":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45172","description":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45172","description":"\"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45395","description":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45395","description":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45395","description":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45395","description":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21183","description":"Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Autologous chondrocyte implantation, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27412","description":"Autologous chondrocyte implantation, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45397","description":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45397","description":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45397","description":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45397","description":"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27416","description":"Osteochondral knee autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45400","description":"Laparoscopy, surgical; proctopexy (for prolapse)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45400","description":"Laparoscopy, surgical; proctopexy (for prolapse)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45400","description":"Laparoscopy, surgical; proctopexy (for prolapse)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45400","description":"Laparoscopy, surgical; proctopexy (for prolapse)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45402","description":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45402","description":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45402","description":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45402","description":"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27418","description":"Anterior tibial tubercleplasty (eg, Maquet type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21194","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/Bone Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45540","description":"Proctopexy, Prolapse; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45540","description":"Proctopexy, Prolapse; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45540","description":"Proctopexy, Prolapse; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45540","description":"Proctopexy, Prolapse; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21195","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45541","description":"Proctopexy, Prolapse; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45541","description":"Proctopexy, Prolapse; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45541","description":"Proctopexy, Prolapse; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy, Prolapse; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45541","description":"Proctopexy, Prolapse; Perineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27422","description":"Reconstruction, Dislocating Patella; W/Extensor Realignment &/Or Muscle Advance/Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella; W/Patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27424","description":"Reconstruction, Dislocating Patella; W/Patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lateral retinacular release, open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27425","description":"Lateral retinacular release, open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy combined with sigmoid resection, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45550","description":"Proctopexy combined with sigmoid resection, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy combined with sigmoid resection, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45550","description":"Proctopexy combined with sigmoid resection, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy combined with sigmoid resection, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45550","description":"Proctopexy combined with sigmoid resection, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Proctopexy combined with sigmoid resection, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45550","description":"Proctopexy combined with sigmoid resection, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21198","description":"Osteotomy, mandible, segmental;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, mandible, segmental; with genioglossus advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21199","description":"Osteotomy, mandible, segmental; with genioglossus advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Rectocele (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45560","description":"Repair, Rectocele (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Rectocele (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45560","description":"Repair, Rectocele (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Rectocele (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45560","description":"Repair, Rectocele (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Rectocele (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45560","description":"Repair, Rectocele (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45562","description":"Exploration, repair, and presacral drainage for rectal injury;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45562","description":"Exploration, repair, and presacral drainage for rectal injury;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45562","description":"Exploration, repair, and presacral drainage for rectal injury;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45562","description":"Exploration, repair, and presacral drainage for rectal injury;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27427","description":"Ligamentous reconstruction (augmentation), knee; extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21206","description":"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45563","description":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45563","description":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45563","description":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45563","description":"Exploration, repair, and presacral drainage for rectal injury; with colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27428","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, facial bones; reduction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21209","description":"Osteoplasty, facial bones; reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27429","description":"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21240","description":"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45800","description":"Closure, Rectovesical Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45800","description":"Closure, Rectovesical Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45800","description":"Closure, Rectovesical Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45800","description":"Closure, Rectovesical Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45805","description":"Closure, Rectovesical Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45805","description":"Closure, Rectovesical Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45805","description":"Closure, Rectovesical Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovesical Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45805","description":"Closure, Rectovesical Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Quadricepsplasty (eg, Bennett or Thompson type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27430","description":"Quadricepsplasty (eg, Bennett or Thompson type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45820","description":"Closure, Rectourethral Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45820","description":"Closure, Rectourethral Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, temporomandibular joint, with allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21242","description":"Arthroplasty, temporomandibular joint, with allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45820","description":"Closure, Rectourethral Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45820","description":"Closure, Rectourethral Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45825","description":"Closure, Rectourethral Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45825","description":"Closure, Rectourethral Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45825","description":"Closure, Rectourethral Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectourethral Fistula; W/Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"45825","description":"Closure, Rectourethral Fistula; W/Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, patella; without prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27437","description":"Arthroplasty, patella; without prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, posterior capsular release, knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27435","description":"Capsulotomy, posterior capsular release, knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of internal anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46505","description":"Chemodenervation of internal anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21244","description":"Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anoplasty, plastic operation for stricture; infant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46705","description":"Anoplasty, plastic operation for stricture; infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anoplasty, plastic operation for stricture; infant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46705","description":"Anoplasty, plastic operation for stricture; infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anoplasty, plastic operation for stricture; infant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46705","description":"Anoplasty, plastic operation for stricture; infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anoplasty, plastic operation for stricture; infant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46705","description":"Anoplasty, plastic operation for stricture; infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21245","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46710","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46710","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46710","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46710","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21246","description":"Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27441","description":"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46712","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46712","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46712","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46712","description":"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21247","description":"Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46715","description":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46715","description":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46715","description":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46715","description":"Repair, Low Imperforate Anus; W/Anoperineal Fistula (Cut-Back Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21255","description":"Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27443","description":"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46716","description":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46716","description":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46716","description":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46716","description":"Repair, Low Imperforate Anus; W/Transposition, Anoperineal/Anovestibular Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46730","description":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46730","description":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46730","description":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46730","description":"Repair, High Imperf Anus W/O Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27445","description":"Arthroplasty, knee, hinge prosthesis (eg, Walldius type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21256","description":"Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46735","description":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46735","description":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46735","description":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46735","description":"Repair, High Imperf Anus W/O Fistula; Transabdominal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21260","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46740","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46740","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46740","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46740","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21261","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46742","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46742","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46742","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46742","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Transabdom/Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21263","description":"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46744","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46744","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46744","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46744","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty & Urethroplasty, Sacroperineal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46746","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46746","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46746","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46746","description":"Repair, Cloacal Anomaly, Anorectovaginoplasty, Urethroplasty, Abdominal/Sacroperineal Approach;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; without fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27448","description":"Osteotomy, femur, shaft or supracondylar; without fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, femur, shaft or supracondylar; with fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27450","description":"Osteotomy, femur, shaft or supracondylar; with fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46748","description":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46748","description":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46748","description":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46748","description":"Repar, Cloacal Anomly, Anorectovagino/Urethroplsty, Abd/Sacroperinl Approach; W/Vaginl Lengthning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; adult","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46750","description":"Sphincteroplasty, anal, for incontinence or prolapse; adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; adult","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46750","description":"Sphincteroplasty, anal, for incontinence or prolapse; adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; adult","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46750","description":"Sphincteroplasty, anal, for incontinence or prolapse; adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; adult","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46750","description":"Sphincteroplasty, anal, for incontinence or prolapse; adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21267","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; child","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46751","description":"Sphincteroplasty, anal, for incontinence or prolapse; child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; child","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46751","description":"Sphincteroplasty, anal, for incontinence or prolapse; child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; child","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46751","description":"Sphincteroplasty, anal, for incontinence or prolapse; child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence or prolapse; child","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46751","description":"Sphincteroplasty, anal, for incontinence or prolapse; child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27454","description":"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21268","description":"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27455","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27457","description":"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Malar augmentation, prosthetic material","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21270","description":"Malar augmentation, prosthetic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46760","description":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46760","description":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46760","description":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46760","description":"Sphincteroplasty, anal, for incontinence, adult; muscle transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46761","description":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46761","description":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46761","description":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Medial canthopexy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21280","description":"Medial canthopexy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"46761","description":"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lateral canthopexy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21282","description":"Lateral canthopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Secondary revision of orbitocraniofacial reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21275","description":"Secondary revision of orbitocraniofacial reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47010","description":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47010","description":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47010","description":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47010","description":"Hepatotomy; for open drainage of abscess or cyst, one or two stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Masseter Muscle/Bone; Extraoral Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21295","description":"Reduction, Masseter Muscle/Bone; Extraoral Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47015","description":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47015","description":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47015","description":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Masseter Muscle/Bone; Intraoral Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21296","description":"Reduction, Masseter Muscle/Bone; Intraoral Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47015","description":"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27465","description":"Osteoplasty, femur; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Liver, Wedge","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47100","description":"Bx, Liver, Wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Liver, Wedge","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47100","description":"Bx, Liver, Wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Liver, Wedge","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47100","description":"Bx, Liver, Wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Liver, Wedge","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47100","description":"Bx, Liver, Wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27466","description":"Osteoplasty, femur; lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasoethmoid fracture; with external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21339","description":"Open treatment of nasoethmoid fracture; with external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27468","description":"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed frontal sinus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21343","description":"Open treatment of depressed frontal sinus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; partial lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47120","description":"Hepatectomy, resection of liver; partial lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; partial lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47120","description":"Hepatectomy, resection of liver; partial lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; partial lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47120","description":"Hepatectomy, resection of liver; partial lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; partial lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47120","description":"Hepatectomy, resection of liver; partial lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27470","description":"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; trisegmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47122","description":"Hepatectomy, resection of liver; trisegmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; trisegmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47122","description":"Hepatectomy, resection of liver; trisegmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; trisegmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47122","description":"Hepatectomy, resection of liver; trisegmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; trisegmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47122","description":"Hepatectomy, resection of liver; trisegmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21344","description":"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27475","description":"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total left lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47125","description":"Hepatectomy, resection of liver; total left lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total left lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47125","description":"Hepatectomy, resection of liver; total left lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total left lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47125","description":"Hepatectomy, resection of liver; total left lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total left lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47125","description":"Hepatectomy, resection of liver; total left lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27472","description":"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total right lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47130","description":"Hepatectomy, resection of liver; total right lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total right lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47130","description":"Hepatectomy, resection of liver; total right lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total right lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47130","description":"Hepatectomy, resection of liver; total right lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepatectomy, resection of liver; total right lobectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47130","description":"Hepatectomy, resection of liver; total right lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21347","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27477","description":"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21348","description":"Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21355","description":"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21356","description":"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47140","description":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47140","description":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47140","description":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47140","description":"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21360","description":"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27485","description":"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47141","description":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47141","description":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47141","description":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47141","description":"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21365","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47142","description":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47142","description":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47142","description":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47142","description":"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27486","description":"Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47143","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47143","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47143","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47143","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47144","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47144","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47144","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47144","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21366","description":"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21385","description":"Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27488","description":"Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47145","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47145","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47145","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47145","description":"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47146","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47146","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47146","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47146","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27495","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27496","description":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor); with debridement of nonvi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27497","description":"Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor); with debridement of nonvi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47147","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47147","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47147","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst/Abscess, Liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47300","description":"Marsupialization, Cyst/Abscess, Liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47147","description":"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst/Abscess, Liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47300","description":"Marsupialization, Cyst/Abscess, Liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst/Abscess, Liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47300","description":"Marsupialization, Cyst/Abscess, Liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst/Abscess, Liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47300","description":"Marsupialization, Cyst/Abscess, Liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21386","description":"Open treatment of orbital floor blowout fracture; periorbital approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27498","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral shaft fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27500","description":"Closed treatment of femoral shaft fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without man","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27501","description":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27499","description":"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21390","description":"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27502","description":"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47350","description":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47350","description":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47350","description":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47350","description":"Management, Liver Hemorrhage; Simple Suture, Liver Wound/Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21400","description":"Closed treatment of fracture of orbit, except blowout; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27503","description":"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21395","description":"Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47360","description":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47360","description":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47360","description":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47360","description":"Management, Liver Hemorrhage; Complex Suture, Liver Wound/Injury, W/Wo Hepatic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of orbit, except blowout; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21401","description":"Closed treatment of fracture of orbit, except blowout; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47361","description":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47361","description":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47361","description":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47361","description":"Management, Liver Hemorrhage; Exploration, Hepatic Wound, Debridement, Coagulation &/Or Suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27506","description":"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21406","description":"Open treatment of fracture of orbit, except blowout; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27507","description":"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27508","description":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47362","description":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47362","description":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47362","description":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47362","description":"Management, Liver Hemorrhage; Re-Exploration, Hepatic Wound, Removal Packing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27509","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27510","description":"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21407","description":"Open treatment of fracture of orbit, except blowout; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47370","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47370","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47370","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47370","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21408","description":"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21422","description":"Open treatment of palatal or maxillary fracture (LeFort I type);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27511","description":"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, with or without inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47371","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47371","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47371","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47371","description":"Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27513","description":"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21423","description":"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47380","description":"Ablation, open, of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47380","description":"Ablation, open, of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47380","description":"Ablation, open, of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47380","description":"Ablation, open, of one or more liver tumor(s); radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal femoral epiphyseal separation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27516","description":"Closed treatment of distal femoral epiphyseal separation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27514","description":"Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21431","description":"Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); cyrosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47381","description":"Ablation, open, of one or more liver tumor(s); cyrosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); cyrosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47381","description":"Ablation, open, of one or more liver tumor(s); cyrosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); cyrosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47381","description":"Ablation, open, of one or more liver tumor(s); cyrosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, of one or more liver tumor(s); cyrosurgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47381","description":"Ablation, open, of one or more liver tumor(s); cyrosurgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27517","description":"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21432","description":"Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar fracture, without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27520","description":"Closed treatment of patellar fracture, without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27519","description":"Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21433","description":"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve fora","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47400","description":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47400","description":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47400","description":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47400","description":"Hepaticotomy/Hepaticostomy W/Exploration/Drainage/Removal, Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27524","description":"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21435","description":"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47420","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47420","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47420","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial fracture, proximal (plateau); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27530","description":"Closed treatment of tibial fracture, proximal (plateau); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21436","description":"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27532","description":"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47425","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47425","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47420","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/O Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47425","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47425","description":"Choledochotomy/Ostomy W/Explore/Drain/Removal Calculus; W/Transduodenal Sphincterotomy/Plasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of orbital floor blowout fracture; combined approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21387","description":"Open treatment of orbital floor blowout fracture; combined approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21445","description":"Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47460","description":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47460","description":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47460","description":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47460","description":"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27535","description":"Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular fracture; with interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21462","description":"Open treatment of mandibular fracture; with interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47480","description":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47480","description":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47480","description":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47480","description":"Cholecystotomy/Cholecystostomy W/Exploration/Drainage/Removal Calculus (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27536","description":"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27538","description":"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of mandibular condylar fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21465","description":"Open treatment of mandibular condylar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47550","description":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47550","description":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47550","description":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47550","description":"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47562","description":"Laparoscopy, surgical; cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27540","description":"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47562","description":"Laparoscopy, surgical; cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47562","description":"Laparoscopy, surgical; cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47562","description":"Laparoscopy, surgical; cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of knee dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27550","description":"Closed treatment of knee dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of knee dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27552","description":"Closed treatment of knee dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of temporomandibular dislocation; initial or subsequent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21480","description":"Closed treatment of temporomandibular dislocation; initial or subsequent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21470","description":"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21485","description":"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47563","description":"Laparoscopy, surgical; cholecystectomy with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47563","description":"Laparoscopy, surgical; cholecystectomy with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47563","description":"Laparoscopy, surgical; cholecystectomy with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47563","description":"Laparoscopy, surgical; cholecystectomy with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27556","description":"Open treatment of knee dislocation, with or without internal or external fixation; without primary ligamentous repair or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of temporomandibular dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21490","description":"Open treatment of temporomandibular dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27557","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47564","description":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47564","description":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47564","description":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47564","description":"Laparoscopy, surgical; cholecystectomy with exploration of common duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27558","description":"Open treatment of knee dislocation, with or without internal or external fixation; with primary ligamentous repair, with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21502","description":"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27562","description":"Closed treatment of patellar dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of patellar dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27560","description":"Closed treatment of patellar dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47570","description":"Laparoscopy, surgical; cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47570","description":"Laparoscopy, surgical; cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47570","description":"Laparoscopy, surgical; cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47570","description":"Laparoscopy, surgical; cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, Knee Joint Under General Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27570","description":"Manipulation, Knee Joint Under General Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of patellar dislocation, with or without partial or total patellectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27566","description":"Open treatment of patellar dislocation, with or without partial or total patellectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy; with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47605","description":"Cholecystectomy; with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy; with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47605","description":"Cholecystectomy; with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy; with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47605","description":"Cholecystectomy; with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy; with cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47605","description":"Cholecystectomy; with cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47600","description":"Cholecystectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47600","description":"Cholecystectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47600","description":"Cholecystectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47600","description":"Cholecystectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, knee, any technique","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27580","description":"Arthrodesis, knee, any technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47610","description":"Cholecystectomy with exploration of common duct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47610","description":"Cholecystectomy with exploration of common duct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47610","description":"Cholecystectomy with exploration of common duct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47610","description":"Cholecystectomy with exploration of common duct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21552","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21554","description":"\"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27590","description":"Amputation, thigh, through femur, any level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47612","description":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47612","description":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47612","description":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47612","description":"Cholecystectomy with exploration of common duct; with choledochoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27591","description":"Amputation, thigh, through femur, any level; immediate fitting technique including first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21557","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47620","description":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47620","description":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47620","description":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47620","description":"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27594","description":"Amputation, thigh, through femur, any level; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21558","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27596","description":"Amputation, thigh, through femur, any level; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, thigh, through femur, any level; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27592","description":"Amputation, thigh, through femur, any level; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47700","description":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47700","description":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47700","description":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47700","description":"Exploration, Congenital Atresia, Bile Ducts, W/O Repair, W/Wo Liver Bx, W/Wo Cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Rib, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21600","description":"Excision, Rib, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation at knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27598","description":"Disarticulation at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47711","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47711","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47711","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47711","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Extrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47712","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47712","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47712","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47712","description":"Excision, Bile Duct Tumor, W/Wo Primary Repair, Bile Duct; Intrahepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor including rib(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21601","description":"Excision of chest wall tumor including rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21602","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Choledochal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47715","description":"Excision, Choledochal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Choledochal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47715","description":"Excision, Choledochal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Choledochal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47715","description":"Excision, Choledochal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Choledochal Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47715","description":"Excision, Choledochal Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral compartments only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27600","description":"Decompression fasciotomy, leg; anterior and/or lateral compartments only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47720","description":"Cholecystoenterostomy; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; posterior compartment(s) only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27601","description":"Decompression fasciotomy, leg; posterior compartment(s) only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47720","description":"Cholecystoenterostomy; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47720","description":"Cholecystoenterostomy; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47720","description":"Cholecystoenterostomy; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47721","description":"Cholecystoenterostomy; with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47721","description":"Cholecystoenterostomy; with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47721","description":"Cholecystoenterostomy; with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47721","description":"Cholecystoenterostomy; with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27602","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, leg or ankle; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27603","description":"Incision and drainage, leg or ankle; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, leg or ankle; infected bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27604","description":"Incision and drainage, leg or ankle; infected bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Costotransversectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21610","description":"Costotransversectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27605","description":"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47740","description":"Cholecystoenterostomy; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47740","description":"Cholecystoenterostomy; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47740","description":"Cholecystoenterostomy; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47740","description":"Cholecystoenterostomy; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, percutaneous, Achilles tendon, (separate procedure); general anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27606","description":"Tenotomy, percutaneous, Achilles tendon, (separate procedure); general anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21615","description":"Excision first and/or cervical rib;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision first and/or cervical rib; with sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21616","description":"Excision first and/or cervical rib; with sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, Leg/Ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27607","description":"Incision, Leg/Ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47741","description":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47741","description":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47741","description":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47741","description":"Cholecystoenterostomy; Roux-en-Y with gastroenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47760","description":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47760","description":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47760","description":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47760","description":"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27610","description":"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47765","description":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47765","description":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47765","description":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47765","description":"Anastomosis, of intrahepatic ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Sternum, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21620","description":"Ostectomy, Sternum, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Leg/Ankle Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27613","description":"Bx, Soft Tissue, Leg/Ankle Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27612","description":"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Leg/Ankle Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27614","description":"Bx, Soft Tissue, Leg/Ankle Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21630","description":"Radical resection of sternum;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27615","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27616","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47780","description":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47780","description":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47780","description":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47780","description":"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, leg or ankle area; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27618","description":"Excision, tumor, leg or ankle area; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47785","description":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47785","description":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47785","description":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47785","description":"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of sternum; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21632","description":"Radical resection of sternum; with mediastinal lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47800","description":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47800","description":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47800","description":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47800","description":"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, leg or ankle area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27619","description":"Excision, tumor, leg or ankle area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy and suspension","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21685","description":"Hyoid myotomy and suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Choledochal Stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47801","description":"Placement, Choledochal Stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Choledochal Stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47801","description":"Placement, Choledochal Stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Choledochal Stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47801","description":"Placement, Choledochal Stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Choledochal Stent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47801","description":"Placement, Choledochal Stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21700","description":"Division, Scalenus Anticus; W/O Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27620","description":"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"U-tube hepaticoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47802","description":"U-tube hepaticoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"U-tube hepaticoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47802","description":"U-tube hepaticoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"U-tube hepaticoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47802","description":"U-tube hepaticoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"U-tube hepaticoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47802","description":"U-tube hepaticoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Scalenus Anticus; W/Resection, Cervical Rib","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21705","description":"Division, Scalenus Anticus; W/Resection, Cervical Rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27625","description":"Arthrotomy, with synovectomy, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47900","description":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47900","description":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47900","description":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule, Leg &/Or Ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27630","description":"Excision, Lesion, Tendon Sheath/Capsule, Leg &/Or Ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47900","description":"Suture, Extrahepatic Biliary Duct, Pre-Existing Injury (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27626","description":"Arthrotomy, with synovectomy, ankle; including tenosynovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48000","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21720","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/O Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48000","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48000","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48000","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21725","description":"Division, Sternocleidomastoid, Torticollis, Open Operation; W/Cast Application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27632","description":"\"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48001","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48001","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48001","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48001","description":"Placement, Drains, Peripancreatic, Acute Pancreatitis; W/Cholecystostomy, Gastrostomy&Jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21740","description":"Reconstructive repair of pectus excavatum or carinatum; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Pancreatic Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48020","description":"Removal, Pancreatic Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Pancreatic Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48020","description":"Removal, Pancreatic Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Pancreatic Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48020","description":"Removal, Pancreatic Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Pancreatic Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48020","description":"Removal, Pancreatic Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27634","description":"\"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21742","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracosco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27635","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Pancreas, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48100","description":"Bx, Pancreas, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Pancreas, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48100","description":"Bx, Pancreas, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Pancreas, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48100","description":"Bx, Pancreas, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Pancreas, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48100","description":"Bx, Pancreas, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27637","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48105","description":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48105","description":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48105","description":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48105","description":"Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21743","description":"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21750","description":"Closure, Median Sternotomy Separation, W/Wo Debridement (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48120","description":"Excision, Lesion, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48120","description":"Excision, Lesion, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48120","description":"Excision, Lesion, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48120","description":"Excision, Lesion, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27638","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tibia/Fibula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); tibia</","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27640","description":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); tibia</","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); fibula<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27641","description":"Partial excision (craterization, saucerization, or diaphysectomy)&nbsp;bone (eg, osteomyelitis or exostosis); fibula<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48140","description":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48140","description":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48140","description":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48140","description":"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48145","description":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48145","description":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48145","description":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48145","description":"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21812","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27645","description":"Radical resection of tumor, bone; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48146","description":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48146","description":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48146","description":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48146","description":"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21813","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternum fracture with or without skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21825","description":"Open treatment of sternum fracture with or without skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27646","description":"Radical resection of tumor, bone; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ampulla, Vater","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48148","description":"Excision, Ampulla, Vater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ampulla, Vater","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48148","description":"Excision, Ampulla, Vater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ampulla, Vater","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48148","description":"Excision, Ampulla, Vater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ampulla, Vater","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48148","description":"Excision, Ampulla, Vater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48150","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48150","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48150","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48150","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21931","description":"\"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; talus or calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27647","description":"Radical resection of tumor, bone; talus or calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for ankle arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27648","description":"Injection procedure for ankle arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21932","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48152","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48152","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48152","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48152","description":"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48153","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48153","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48153","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48153","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27652","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21933","description":"\"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27650","description":"Repair, primary, open or percutaneous, ruptured Achilles tendon;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48154","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48154","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48154","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48154","description":"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"21936","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, Achilles tendon, with or without graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27654","description":"Repair, secondary, Achilles tendon, with or without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48155","description":"Pancreatectomy, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48155","description":"Pancreatectomy, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48155","description":"Pancreatectomy, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48155","description":"Pancreatectomy, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48500","description":"Marsupialization, Cyst, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48500","description":"Marsupialization, Cyst, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48500","description":"Marsupialization, Cyst, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Marsupialization, Cyst, Pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48500","description":"Marsupialization, Cyst, Pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22100","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, fascial defect of leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27656","description":"Repair, fascial defect of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"External drainage, pseudocyst of pancreas; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48510","description":"External drainage, pseudocyst of pancreas; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"External drainage, pseudocyst of pancreas; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48510","description":"External drainage, pseudocyst of pancreas; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"External drainage, pseudocyst of pancreas; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48510","description":"External drainage, pseudocyst of pancreas; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"External drainage, pseudocyst of pancreas; open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48510","description":"External drainage, pseudocyst of pancreas; open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22101","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48520","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48520","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48520","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48520","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; primary, without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27658","description":"Repair, flexor tendon, leg; primary, without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22102","description":"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27659","description":"Repair, flexor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27665","description":"Repair, extensor tendon, leg; secondary, with or without graft, each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48540","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48540","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48540","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48540","description":"Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22110","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy, Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48545","description":"Pancreatorrhaphy, Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy, Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48545","description":"Pancreatorrhaphy, Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy, Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48545","description":"Pancreatorrhaphy, Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy, Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48545","description":"Pancreatorrhaphy, Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; without fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27675","description":"Repair, dislocating peroneal tendons; without fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22112","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48547","description":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48547","description":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48547","description":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48547","description":"Duodenal exclusion with gastrojejunostomy for pancreatic injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, dislocating peroneal tendons; with fibular osteotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27676","description":"Repair, dislocating peroneal tendons; with fibular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22114","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48548","description":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48548","description":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons(through separate incision(s))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27681","description":"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons(through separate incision(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48548","description":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48548","description":"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22116","description":"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48551","description":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48551","description":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48551","description":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48551","description":"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27685","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Single Tendon (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening/Shortening, Tendon, Leg/Ankle; Multiple Tendons, Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27686","description":"Lengthening/Shortening, Tendon, Leg/Ankle; Multiple Tendons, Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22206","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48552","description":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Gastrocnemius recession (eg, Strayer procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27687","description":"Gastrocnemius recession (eg, Strayer procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48552","description":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48552","description":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48552","description":"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48556","description":"Removal, Transplanted Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48556","description":"Removal, Transplanted Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48556","description":"Removal, Transplanted Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48554","description":"Transplantation, Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48556","description":"Removal, Transplanted Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48554","description":"Transplantation, Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48554","description":"Transplantation, Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Pancreatic Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48554","description":"Transplantation, Pancreatic Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22208","description":"Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27690","description":"Transfer/Transplant, Single Tendon; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22210","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22212","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27691","description":"Transfer/Transplant, Single Tendon; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49000","description":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transfer/Transplant, Single Tendon; Add'l Tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27692","description":"Transfer/Transplant, Single Tendon; Add'l Tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49000","description":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49000","description":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49000","description":"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, disrupted ligament, ankle; collateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27695","description":"Repair, primary, disrupted ligament, ankle; collateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, primary, disrupted ligament, ankle; both collateral ligaments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27696","description":"Repair, primary, disrupted ligament, ankle; both collateral ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reopening, Recent Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49002","description":"Reopening, Recent Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reopening, Recent Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49002","description":"Reopening, Recent Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reopening, Recent Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49002","description":"Reopening, Recent Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reopening, Recent Laparotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49002","description":"Reopening, Recent Laparotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22216","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49010","description":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49010","description":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49010","description":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49010","description":"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22220","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22222","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27698","description":"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49020","description":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49020","description":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49020","description":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49020","description":"Drainage, Peritoneal Abscess/Localized Peritonitis Excludes Appendiceal Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49040","description":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49040","description":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49040","description":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49040","description":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27700","description":"Arthroplasty, ankle;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22224","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49062","description":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49062","description":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49062","description":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49062","description":"Drainage, Extraperitoneal Lymphocele To Peritoneal Cavity, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; revision, total ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27703","description":"Arthroplasty, ankle; revision, total ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ankle Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27704","description":"Removal, Ankle Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49203","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49203","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49203","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22319","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22318","description":"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22325","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27705","description":"Osteotomy; tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49204","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49204","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49204","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49204","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27707","description":"Osteotomy; fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49203","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49205","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49205","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49205","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49205","description":"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27709","description":"Osteotomy; tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22326","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Presacral/Sacrococcygeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49215","description":"Excision, Presacral/Sacrococcygeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Presacral/Sacrococcygeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49215","description":"Excision, Presacral/Sacrococcygeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Presacral/Sacrococcygeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49215","description":"Excision, Presacral/Sacrococcygeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Presacral/Sacrococcygeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49215","description":"Excision, Presacral/Sacrococcygeal Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27712","description":"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22327","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22328","description":"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s); posterior approach, one fractured verteb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49255","description":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49255","description":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49255","description":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49255","description":"Omentectomy, epiploectomy, resection of omentum (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, tibia and fibula, lengthening or shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27715","description":"Osteoplasty, tibia and fibula, lengthening or shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49320","description":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49320","description":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49320","description":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49320","description":"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27720","description":"Repair, Nonunion/Malunion, Tibia; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49322","description":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49322","description":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49322","description":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49322","description":"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with biopsy (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49321","description":"Laparoscopy, surgical; with biopsy (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with biopsy (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49321","description":"Laparoscopy, surgical; with biopsy (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with biopsy (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49321","description":"Laparoscopy, surgical; with biopsy (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with biopsy (single or multiple)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49321","description":"Laparoscopy, surgical; with biopsy (single or multiple)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22533","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49323","description":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49323","description":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49323","description":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49323","description":"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22534","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27724","description":"Repair, Nonunion/Malunion, Tibia; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&amp;remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22551","description":"Neck spine fuse&amp;remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49324","description":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49324","description":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49324","description":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49325","description":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49324","description":"Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49325","description":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49325","description":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49325","description":"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intralumi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27725","description":"Repair, Nonunion/Malunion, Tibia; Synostosis, W/Fibula, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22552","description":"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of fibula nonunion and/or malunion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27726","description":"Repair of fibula nonunion and/or malunion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27730","description":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49326","description":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49326","description":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49326","description":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49326","description":"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Congenital Pseudarthrosis, Tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27727","description":"Repair, Congenital Pseudarthrosis, Tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27732","description":"Arrest, epiphyseal (epiphysiodesis), open; distal fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49327","description":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49327","description":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49327","description":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49327","description":"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27734","description":"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22558","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49425","description":"Insertion, Peritoneal-Venous Shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49425","description":"Insertion, Peritoneal-Venous Shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49425","description":"Insertion, Peritoneal-Venous Shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49425","description":"Insertion, Peritoneal-Venous Shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22585","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49435","description":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49435","description":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49435","description":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49435","description":"Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27742","description":"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"EMBEDDED IP CATH EXIT-SITE","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49436","description":"EMBEDDED IP CATH EXIT-SITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"EMBEDDED IP CATH EXIT-SITE","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49436","description":"EMBEDDED IP CATH EXIT-SITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"EMBEDDED IP CATH EXIT-SITE","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49436","description":"EMBEDDED IP CATH EXIT-SITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"EMBEDDED IP CATH EXIT-SITE","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49436","description":"EMBEDDED IP CATH EXIT-SITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27750","description":"Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22586","description":"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22590","description":"Arthrodesis, posterior technique, craniocervical (occiput-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeleta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27752","description":"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeleta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49491","description":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49491","description":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49491","description":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49491","description":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49491","description":"Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49492","description":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49492","description":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49492","description":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49492","description":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49492","description":"Repair, Init Inguinal Hernia, Preterm Infant (Birth -50 Wks Postconcept) W/Wo Hydrocelect; Incarc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22595","description":"Arthrodesis, posterior technique, atlas-axis (C1-C2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22600","description":"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47135","description":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47135","description":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47135","description":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"47135","description":"Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49495","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49495","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49495","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49495","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49495","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27758","description":"Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49496","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49496","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49496","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49496","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49496","description":"Repair, Init Inguinal Hernia, Full/Preterm Infant < 6 Mos, W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22612","description":"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of medial malleolus fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27760","description":"Closed treatment of medial malleolus fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27759","description":"Treatment, Tibial Shaft Fx, Intramedullary Implant, W/Wo Screws/Cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27762","description":"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of medial malleolus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27766","description":"Open treatment of medial malleolus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27767","description":"Cltx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior malleolus fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27768","description":"Closed treatment of posterior malleolus fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22630","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49500","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49500","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49500","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49500","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49500","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal fibula or shaft fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27780","description":"Closed treatment of proximal fibula or shaft fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49501","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49501","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49501","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49501","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49501","description":"Repair, Initial Inguinal Hernia, Age 6 Months To < 5 Yrs; W/Wo Hydrocelectomy; Incarc/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22633","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal fibula or shaft fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27781","description":"Closed treatment of proximal fibula or shaft fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of posterior malleolus fracture, includes internal fixation, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27769","description":"Open treatment of posterior malleolus fracture, includes internal fixation, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal fibula or shaft fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27784","description":"Open treatment of proximal fibula or shaft fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal fibular fracture (lateral malleolus); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27786","description":"Closed treatment of distal fibular fracture (lateral malleolus); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22634","description":"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of distal fibular fracture (lateral malleolus); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27788","description":"Closed treatment of distal fibular fracture (lateral malleolus); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49505","description":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49505","description":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49505","description":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49505","description":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49505","description":"Repair, Initial Inguinal Hernia, Age 5+; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27792","description":"Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49507","description":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of bimalleolar ankle fracture, (including Potts); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27808","description":"Closed treatment of bimalleolar ankle fracture, (including Potts); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49507","description":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49507","description":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49507","description":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49507","description":"Repair, Initial Inguinal Hernia, Age 5+; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27810","description":"Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22800","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22802","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49520","description":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49520","description":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49520","description":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49520","description":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49520","description":"Repair, Recurrent Inguinal Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22804","description":"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27814","description":"Open treatment of bimalleolar ankle fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trimalleolar ankle fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27816","description":"Closed treatment of trimalleolar ankle fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of trimalleolar ankle fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27818","description":"Closed treatment of trimalleolar ankle fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49521","description":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49521","description":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49521","description":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49521","description":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49521","description":"Repair, Recurrent Inguinal Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inguinal Hernia, Sliding, Any Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49525","description":"Repair, Inguinal Hernia, Sliding, Any Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inguinal Hernia, Sliding, Any Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49525","description":"Repair, Inguinal Hernia, Sliding, Any Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inguinal Hernia, Sliding, Any Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49525","description":"Repair, Inguinal Hernia, Sliding, Any Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inguinal Hernia, Sliding, Any Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49525","description":"Repair, Inguinal Hernia, Sliding, Any Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inguinal Hernia, Sliding, Any Age","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49525","description":"Repair, Inguinal Hernia, Sliding, Any Age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27822","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22810","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27824","description":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27823","description":"Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral mall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Fixation, Wiring, Spinous Processes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22812","description":"Spinal Fixation, Wiring, Spinous Processes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22818","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27825","description":"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49550","description":"Repair, Initial Femoral Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49550","description":"Repair, Initial Femoral Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49550","description":"Repair, Initial Femoral Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49550","description":"Repair, Initial Femoral Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49550","description":"Repair, Initial Femoral Hernia, Any Age; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22819","description":"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elemen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49553","description":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49553","description":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49553","description":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49553","description":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49553","description":"Repair, Initial Femoral Hernia, Any Age; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49555","description":"Repair, Recurrent Femoral Hernia; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27826","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49555","description":"Repair, Recurrent Femoral Hernia; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49555","description":"Repair, Recurrent Femoral Hernia; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49555","description":"Repair, Recurrent Femoral Hernia; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Reducible","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49555","description":"Repair, Recurrent Femoral Hernia; Reducible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27827","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49557","description":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49557","description":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49557","description":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49557","description":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49557","description":"Repair, Recurrent Femoral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22840","description":"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27828","description":"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22842","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27829","description":"Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal tibiofibular joint dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27830","description":"Closed treatment of proximal tibiofibular joint dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22843","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27831","description":"Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22844","description":"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ankle dislocation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27840","description":"Closed treatment of ankle dislocation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27842","description":"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27832","description":"Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixation, or with excisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 4 to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22846","description":"Anterior instrumentation; 4 to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27846","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior instrumentation; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22847","description":"Anterior instrumentation; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22848","description":"Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Small Omphalocele, W/Primary Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49600","description":"Repair, Small Omphalocele, W/Primary Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Small Omphalocele, W/Primary Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49600","description":"Repair, Small Omphalocele, W/Primary Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Small Omphalocele, W/Primary Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49600","description":"Repair, Small Omphalocele, W/Primary Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Small Omphalocele, W/Primary Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49600","description":"Repair, Small Omphalocele, W/Primary Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49605","description":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49605","description":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49605","description":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49605","description":"Repair, Large Omphalocele/Gastroschisis; W/Wo Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Spinal Fixation Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22849","description":"Reinsertion, Spinal Fixation Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49606","description":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49606","description":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49606","description":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49606","description":"Repair, Large Omphalocele/Gastroschisis; W/Removal Prosthesis/Final Reduction/Closure, In Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Nonsegmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22850","description":"Removal, Posterior Nonsegmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49610","description":"Repair, Omphalocele; 1st Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27848","description":"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49610","description":"Repair, Omphalocele; 1st Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49610","description":"Repair, Omphalocele; 1st Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49610","description":"Repair, Omphalocele; 1st Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Posterior Segmental Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22852","description":"Removal, Posterior Segmental Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, Ankle Under General Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27860","description":"Manipulation, Ankle Under General Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 2nd Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49611","description":"Repair, Omphalocele; 2nd Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 2nd Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49611","description":"Repair, Omphalocele; 2nd Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 2nd Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49611","description":"Repair, Omphalocele; 2nd Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 2nd Stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49611","description":"Repair, Omphalocele; 2nd Stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22853","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22854","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Anterior Instrumentation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22855","description":"Removal, Anterior Instrumentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22856","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27880","description":"Amputation, leg, through tibia and fibula;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22857","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27881","description":"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27882","description":"Amputation, leg, through tibia and fibula; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22858","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27884","description":"Amputation, leg, through tibia and fibula; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, leg, through tibia and fibula; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27886","description":"Amputation, leg, through tibia and fibula; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49621","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49621","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49621","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49621","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj biomechanical device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22859","description":"Insj biomechanical device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27888","description":"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49622","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49622","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49622","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49622","description":"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22860","description":"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ankle disarticulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27889","description":"Ankle disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or ne","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27892","description":"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or ne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22861","description":"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27893","description":"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27894","description":"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22862","description":"Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair initial inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49650","description":"Laparoscopy, surgical; repair initial inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair initial inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49650","description":"Laparoscopy, surgical; repair initial inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair initial inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49650","description":"Laparoscopy, surgical; repair initial inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair initial inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49650","description":"Laparoscopy, surgical; repair initial inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair initial inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49650","description":"Laparoscopy, surgical; repair initial inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair recurrent inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49651","description":"Laparoscopy, surgical; repair recurrent inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair recurrent inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49651","description":"Laparoscopy, surgical; repair recurrent inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair recurrent inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49651","description":"Laparoscopy, surgical; repair recurrent inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair recurrent inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49651","description":"Laparoscopy, surgical; repair recurrent inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; repair recurrent inguinal hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49651","description":"Laparoscopy, surgical; repair recurrent inguinal hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, leg or ankle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27899","description":"Unlisted procedure, leg or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciotomy, foot and/or toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28008","description":"Fasciotomy, foot and/or toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22864","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release, tarsal tunnel (posterior tibial nerve decompression)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28035","description":"Release, tarsal tunnel (posterior tibial nerve decompression)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22865","description":"Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22867","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, secondary, of abdominal wall for evisceration or dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49900","description":"Suture, secondary, of abdominal wall for evisceration or dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, secondary, of abdominal wall for evisceration or dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49900","description":"Suture, secondary, of abdominal wall for evisceration or dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, secondary, of abdominal wall for evisceration or dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49900","description":"Suture, secondary, of abdominal wall for evisceration or dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, secondary, of abdominal wall for evisceration or dehiscence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49900","description":"Suture, secondary, of abdominal wall for evisceration or dehiscence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22868","description":"Insj stablj dev w/dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28039","description":"\"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28041","description":"\"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, foot; subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28043","description":"Excision, tumor, foot; subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, foot; deep, subfascial, intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28045","description":"Excision, tumor, foot; deep, subfascial, intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28046","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22869","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49905","description":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49905","description":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49905","description":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"49905","description":"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insj stablj dev w/o dcmprn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22870","description":"Insj stablj dev w/o dcmprn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28047","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with&nbsp;biopsy; intertarsal or tarsometatarsal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28050","description":"Arthrotomy with&nbsp;biopsy; intertarsal or tarsometatarsal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal exploration, not necessitating other specific procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50010","description":"Renal exploration, not necessitating other specific procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal exploration, not necessitating other specific procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50010","description":"Renal exploration, not necessitating other specific procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal exploration, not necessitating other specific procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50010","description":"Renal exploration, not necessitating other specific procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal exploration, not necessitating other specific procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50010","description":"Renal exploration, not necessitating other specific procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal exploration, not necessitating other specific procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50010","description":"Renal exploration, not necessitating other specific procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrostomy, nephrotomy with drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50040","description":"Nephrostomy, nephrotomy with drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with&nbsp;biopsy; metatarsophalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28052","description":"Arthrotomy with&nbsp;biopsy; metatarsophalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrotomy, with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50045","description":"Nephrotomy, with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy with biopsy; interphalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28054","description":"Arthrotomy with biopsy; interphalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrotomy, with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50045","description":"Nephrotomy, with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrotomy, with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50045","description":"Nephrotomy, with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrotomy, with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50045","description":"Nephrotomy, with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrotomy, with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50045","description":"Nephrotomy, with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy, intrinsic musculature of foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28055","description":"Neurectomy, intrinsic musculature of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, plantar fascia; partial (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28060","description":"Fasciectomy, plantar fascia; partial (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fasciectomy, plantar fascia; radical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28062","description":"Fasciectomy, plantar fascia; radical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22900","description":"Excision, abdominal wall tumor, subfascial (eg, desmoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; flexor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28086","description":"Synovectomy, tendon sheath, foot; flexor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50060","description":"Nephrolithotomy; removal of calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22901","description":"\"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50060","description":"Nephrolithotomy; removal of calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50060","description":"Nephrolithotomy; removal of calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50060","description":"Nephrolithotomy; removal of calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50060","description":"Nephrolithotomy; removal of calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22902","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, tendon sheath, foot; extensor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28088","description":"Synovectomy, tendon sheath, foot; extensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; secondary surgical operation for calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50065","description":"Nephrolithotomy; secondary surgical operation for calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; secondary surgical operation for calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50065","description":"Nephrolithotomy; secondary surgical operation for calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; secondary surgical operation for calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50065","description":"Nephrolithotomy; secondary surgical operation for calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; secondary surgical operation for calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50065","description":"Nephrolithotomy; secondary surgical operation for calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; secondary surgical operation for calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50065","description":"Nephrolithotomy; secondary surgical operation for calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule; Foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28090","description":"Excision, Lesion, Tendon Sheath/Capsule; Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22903","description":"\"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; complicated by congenital kidney abnormality","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50070","description":"Nephrolithotomy; complicated by congenital kidney abnormality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; complicated by congenital kidney abnormality","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50070","description":"Nephrolithotomy; complicated by congenital kidney abnormality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; complicated by congenital kidney abnormality","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50070","description":"Nephrolithotomy; complicated by congenital kidney abnormality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; complicated by congenital kidney abnormality","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50070","description":"Nephrolithotomy; complicated by congenital kidney abnormality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; complicated by congenital kidney abnormality","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50070","description":"Nephrolithotomy; complicated by congenital kidney abnormality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28102","description":"Excision/ Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Iliac/Other Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22904","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28103","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50075","description":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50075","description":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50075","description":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50075","description":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50075","description":"Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50080","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"22905","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50081","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50081","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50081","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50081","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50081","description":"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Subdeltoid Calcareous Deposits, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23000","description":"Removal, Subdeltoid Calcareous Deposits, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsular contracture release (eg, Sever type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23020","description":"Capsular contracture release (eg, Sever type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, shoulder area; infected bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23031","description":"Incision and drainage, shoulder area; infected bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50100","description":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50100","description":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50100","description":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50100","description":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50100","description":"Transection/Repositioning, Aberrant Renal Vessels (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28110","description":"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28107","description":"Excisn/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50120","description":"Pyelotomy; with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50120","description":"Pyelotomy; with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50120","description":"Pyelotomy; with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50120","description":"Pyelotomy; with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50120","description":"Pyelotomy; with exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; first metatarsal head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28111","description":"Ostectomy, complete excision; first metatarsal head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23035","description":"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; other metatarsal head (second, third or fourth)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28112","description":"Ostectomy, complete excision; other metatarsal head (second, third or fourth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; fifth metatarsal head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28113","description":"Ostectomy, complete excision; fifth metatarsal head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23040","description":"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with drainage, pyelostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50125","description":"Pyelotomy; with drainage, pyelostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with drainage, pyelostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50125","description":"Pyelotomy; with drainage, pyelostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with drainage, pyelostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50125","description":"Pyelotomy; with drainage, pyelostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with drainage, pyelostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50125","description":"Pyelotomy; with drainage, pyelostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with drainage, pyelostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50125","description":"Pyelotomy; with drainage, pyelostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23044","description":"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28114","description":"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23065","description":"Bx, Soft Tissue, Shoulder Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50130","description":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50130","description":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, excision of tarsal coalition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28116","description":"Ostectomy, excision of tarsal coalition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50130","description":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50130","description":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50130","description":"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23066","description":"Bx, Soft Tissue, Shoulder Area; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50135","description":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50135","description":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50135","description":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50135","description":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50135","description":"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; percutaneous, by trocar or needle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50200","description":"Renal biopsy; percutaneous, by trocar or needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23071","description":"\"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus; for spur, with or without plantar fascial release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28119","description":"Ostectomy, calcaneus; for spur, with or without plantar fascial release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28120","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23073","description":"\"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, soft tissue tumor, shoulder area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23075","description":"Excision, soft tissue tumor, shoulder area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23076","description":"Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28122","description":"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28124","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; by surgical exposure of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50205","description":"Renal biopsy; by surgical exposure of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; by surgical exposure of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50205","description":"Renal biopsy; by surgical exposure of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; by surgical exposure of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50205","description":"Renal biopsy; by surgical exposure of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; by surgical exposure of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50205","description":"Renal biopsy; by surgical exposure of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy; by surgical exposure of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50205","description":"Renal biopsy; by surgical exposure of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Talectomy (astragalectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28130","description":"Talectomy (astragalectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50220","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50220","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50220","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50220","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50220","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50225","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50225","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50225","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50225","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50225","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28171","description":"Radical resection of tumor, bone; tarsal (except talus or calcaneus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28190","description":"Removal, Fb, Foot; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Deep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28192","description":"Removal, Fb, Foot; Deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28193","description":"Removal, Fb, Foot; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, including biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23100","description":"Arthrotomy, glenohumeral joint, including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23101","description":"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50230","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50230","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50230","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50230","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50230","description":"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphaden","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28202","description":"Repair,&nbsp;tendon,&nbsp;flexor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23105","description":"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28210","description":"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23106","description":"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor, foot; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28220","description":"Tenolysis, flexor, foot; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50234","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50234","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50234","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50234","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50234","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Same Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50236","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50236","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50236","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50236","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50236","description":"Nephrectomy, W/Total Ureterectomy & Bladder Cuff; Through Sep Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, flexor, foot; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28222","description":"Tenolysis, flexor, foot; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, extensor, foot; multiple tendons","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28226","description":"Tenolysis, extensor, foot; multiple tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, extensor, foot; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28225","description":"Tenolysis, extensor, foot; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23107","description":"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50240","description":"Nephrectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50240","description":"Nephrectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50240","description":"Nephrectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50240","description":"Nephrectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50240","description":"Nephrectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28230","description":"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50250","description":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50250","description":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50250","description":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50250","description":"Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23120","description":"Claviculectomy; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28238","description":"Reconstruction, Posterior Tibial Tendon, Excision, Accessory Tarsal Navicular Bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, lengthening, or release, abductor hallucis muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28240","description":"Tenotomy, lengthening, or release, abductor hallucis muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Acromioplasty/Acromionectomy, Partial, W/Wo Coracoacromial Ligament Release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23130","description":"Acromioplasty/Acromionectomy, Partial, W/Wo Coracoacromial Ligament Release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Claviculectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23125","description":"Claviculectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23140","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Unroofing, Cyst(S), Kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50280","description":"Excision/Unroofing, Cyst(S), Kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Unroofing, Cyst(S), Kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50280","description":"Excision/Unroofing, Cyst(S), Kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Unroofing, Cyst(S), Kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50280","description":"Excision/Unroofing, Cyst(S), Kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Unroofing, Cyst(S), Kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50280","description":"Excision/Unroofing, Cyst(S), Kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Unroofing, Cyst(S), Kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50280","description":"Excision/Unroofing, Cyst(S), Kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Perinephric Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50290","description":"Excision, Perinephric Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Perinephric Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50290","description":"Excision, Perinephric Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Perinephric Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50290","description":"Excision, Perinephric Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Perinephric Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50290","description":"Excision, Perinephric Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; medial release only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28260","description":"Capsulotomy, midfoot; medial release only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23145","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor nephrectomy (including cold preservation); open, from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50320","description":"Donor nephrectomy (including cold preservation); open, from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor nephrectomy (including cold preservation); open, from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50320","description":"Donor nephrectomy (including cold preservation); open, from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor nephrectomy (including cold preservation); open, from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50320","description":"Donor nephrectomy (including cold preservation); open, from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor nephrectomy (including cold preservation); open, from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50320","description":"Donor nephrectomy (including cold preservation); open, from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Donor nephrectomy (including cold preservation); open, from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50320","description":"Donor nephrectomy (including cold preservation); open, from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50323","description":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23146","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Clavicle/Scapula; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50323","description":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50323","description":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50323","description":"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; with tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28261","description":"Capsulotomy, midfoot; with tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23150","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28262","description":"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg,&nbsp;resis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50325","description":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50325","description":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50325","description":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50325","description":"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23155","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Autograft (Incl Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28270","description":"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Release of toe joint each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28272","description":"Release of toe joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, midtarsal (eg, Heyman type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28264","description":"Capsulotomy, midtarsal (eg, Heyman type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23156","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Proximal Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23170","description":"Sequestrectomy, Clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50327","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50327","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50327","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50327","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Syndactylization, toes (eg, webbing or Kelikian type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28280","description":"Syndactylization, toes (eg, webbing or Kelikian type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28285","description":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28286","description":"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23172","description":"Sequestrectomy, Scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50328","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50328","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50328","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50328","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50329","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50329","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50329","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50329","description":"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Humeral Head To Surgical Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23174","description":"Sequestrectomy, Humeral Head To Surgical Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23180","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28289","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Recipient nephrectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50340","description":"Recipient nephrectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Recipient nephrectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50340","description":"Recipient nephrectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Recipient nephrectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50340","description":"Recipient nephrectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Recipient nephrectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50340","description":"Recipient nephrectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Recipient nephrectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50340","description":"Recipient nephrectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23182","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50360","description":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50360","description":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50360","description":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50360","description":"Renal allotransplantation, implantation of graft; without recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23184","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50365","description":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50365","description":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50365","description":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50365","description":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50365","description":"Renal allotransplantation, implantation of graft; with recipient nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, Scapula, Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23190","description":"Ostectomy, Scapula, Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28295","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Renal Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50370","description":"Removal, Transplanted Renal Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Renal Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50370","description":"Removal, Transplanted Renal Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Renal Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50370","description":"Removal, Transplanted Renal Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Transplanted Renal Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50370","description":"Removal, Transplanted Renal Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28296","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, humeral head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23195","description":"Resection, humeral head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal autotransplantation, reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50380","description":"Renal autotransplantation, reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal autotransplantation, reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50380","description":"Renal autotransplantation, reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal autotransplantation, reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50380","description":"Renal autotransplantation, reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal autotransplantation, reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50380","description":"Renal autotransplantation, reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50382","description":"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supe","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50384","description":"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28297","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23200","description":"Radical resection for tumor; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without us","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50385","description":"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50386","description":"Remove stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible transnephric ureteral stent (eg, external/internal stent) requiring flu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50387","description":"Removal and replacement of externally accessible transnephric ureteral stent (eg, external/internal stent) requiring flu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor; scapula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23210","description":"Radical resection for tumor; scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28298","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50389","description":"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50390","description":"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Instll rx agnt into rnal tub","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50391","description":"Instll rx agnt into rnal tub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50396","description":"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of bone tumor, proximal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23220","description":"Radical resection of bone tumor, proximal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Shoulder; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23330","description":"Removal, Fb, Shoulder; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28299","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body, shoulder; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23333","description":"Removal of foreign body, shoulder; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"27756","description":"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23334","description":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28300","description":"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50400","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50400","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50400","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50400","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50400","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total sh","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23335","description":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total sh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23350","description":"Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; talus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28302","description":"Osteotomy; talus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50405","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50405","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50405","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50405","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50405","description":"Pyeloplasty, (Foley Y-Pyeloplasty), Plastic Operation On Renal Pelvis; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &amp;/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50430","description":"Njx px nfrosgrm &amp;/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; single","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23395","description":"Muscle transfer, any type, shoulder or upper arm; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &amp;/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50431","description":"Njx px nfrosgrm &amp;/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephrostomy catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50432","description":"Plmt nephrostomy catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephroureteral catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50433","description":"Plmt nephroureteral catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50434","description":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28304","description":"Osteotomy, tarsal bones, other than calcaneus or talus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50435","description":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50436","description":"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28305","description":"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer, any type, shoulder or upper arm; multiple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23397","description":"Muscle transfer, any type, shoulder or upper arm; multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50437","description":"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (o","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28307","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Scapulopexy (eg, Sprengels deformity or for paralysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23400","description":"Scapulopexy (eg, Sprengels deformity or for paralysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrorrhaphy, suture of kidney wound or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50500","description":"Nephrorrhaphy, suture of kidney wound or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28306","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrorrhaphy, suture of kidney wound or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50500","description":"Nephrorrhaphy, suture of kidney wound or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrorrhaphy, suture of kidney wound or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50500","description":"Nephrorrhaphy, suture of kidney wound or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nephrorrhaphy, suture of kidney wound or injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50500","description":"Nephrorrhaphy, suture of kidney wound or injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; single tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23405","description":"Tenotomy, shoulder area; single tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, shoulder area; multiple tendons through same incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23406","description":"Tenotomy, shoulder area; multiple tendons through same incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50520","description":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50520","description":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50520","description":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50520","description":"Closure, Nephrocutaneous/Pyelocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50525","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50525","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50525","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50525","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus f","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28309","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28310","description":"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sesamoidectomy, first toe (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28315","description":"Sesamoidectomy, first toe (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50526","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50526","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50526","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50526","description":"Closure, Nephrovisceral Fistula W/Visceral Repair; Thoracic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23410","description":"Repair, Ruptured Musculotendinous Cuff, Open; Acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50540","description":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50540","description":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50540","description":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50540","description":"Symphysiotomy, Horseshoe Kidney W/Wo Pyeloplasty, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; tarsal bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28320","description":"Repair, nonunion or malunion; tarsal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Ruptured Musculotendinous Cuff; Chronic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23412","description":"Repair, Ruptured Musculotendinous Cuff; Chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal mass lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50542","description":"Laparoscopy, surgical; ablation of renal mass lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coracoacromial ligament release, with or without acromioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23415","description":"Coracoacromial ligament release, with or without acromioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal mass lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50542","description":"Laparoscopy, surgical; ablation of renal mass lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal mass lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50542","description":"Laparoscopy, surgical; ablation of renal mass lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal mass lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50542","description":"Laparoscopy, surgical; ablation of renal mass lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal mass lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50542","description":"Laparoscopy, surgical; ablation of renal mass lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal cysts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50541","description":"Laparoscopy, surgical; ablation of renal cysts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal cysts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50541","description":"Laparoscopy, surgical; ablation of renal cysts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal cysts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50541","description":"Laparoscopy, surgical; ablation of renal cysts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal cysts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50541","description":"Laparoscopy, surgical; ablation of renal cysts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ablation of renal cysts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50541","description":"Laparoscopy, surgical; ablation of renal cysts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23420","description":"Reconstruction, Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Includes Acromioplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28322","description":"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, toe(s); polydactyly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28344","description":"Reconstruction, toe(s); polydactyly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, cleft foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28360","description":"Reconstruction, cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50543","description":"Laparoscopy, surgical; partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50543","description":"Laparoscopy, surgical; partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50543","description":"Laparoscopy, surgical; partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50543","description":"Laparoscopy, surgical; partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50543","description":"Laparoscopy, surgical; partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23430","description":"Tenodesis, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of calcaneal fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28400","description":"Closed treatment of calcaneal fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50544","description":"Laparoscopy, surgical; pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50544","description":"Laparoscopy, surgical; pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50544","description":"Laparoscopy, surgical; pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50544","description":"Laparoscopy, surgical; pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50544","description":"Laparoscopy, surgical; pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of calcaneal fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28405","description":"Closed treatment of calcaneal fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of calcaneal fracture, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28406","description":"Percutaneous skeletal fixation of calcaneal fracture, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of calcaneal fracture, with or without internal or external fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28415","description":"Open treatment of calcaneal fracture, with or without internal or external fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50545","description":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50545","description":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50545","description":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50545","description":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50545","description":"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28430","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of talus fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28435","description":"Closed treatment of talus fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Transplantation, Long Tendon, Biceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23440","description":"Resection/Transplantation, Long Tendon, Biceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50546","description":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50546","description":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50546","description":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50546","description":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50546","description":"Laparoscopy, surgical; nephrectomy, including partial ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23450","description":"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50547","description":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50547","description":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50547","description":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50547","description":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50547","description":"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of talus fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28445","description":"Open treatment of talus fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy with total ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50548","description":"Laparoscopy, surgical; nephrectomy with total ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy with total ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50548","description":"Laparoscopy, surgical; nephrectomy with total ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy with total ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50548","description":"Laparoscopy, surgical; nephrectomy with total ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy with total ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50548","description":"Laparoscopy, surgical; nephrectomy with total ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; nephrectomy with total ureterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50548","description":"Laparoscopy, surgical; nephrectomy with total ureterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23455","description":"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open osteochondral autograft, talus (includes obtaining graft[s])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28446","description":"Open osteochondral autograft, talus (includes obtaining graft[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28490","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28495","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23460","description":"Capsulorrhaphy, anterior, any type; with bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28496","description":"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28505","description":"Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50551","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50553","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23462","description":"Capsulorrhaphy, anterior, any type; with coracoid process transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50555","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50557","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50561","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sesamoid fracture, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28531","description":"Open treatment of sesamoid fracture, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28540","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28546","description":"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23465","description":"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28570","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23466","description":"Capsulorrhaphy, glenohumeral joint, any type multi-directional instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28555","description":"Open treatment of tarsal bone dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of talotarsal joint dislocation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28575","description":"Closed treatment of talotarsal joint dislocation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28576","description":"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50562","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50562","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50562","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50562","description":"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50570","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50572","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50574","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50575","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50576","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50580","description":"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lithotripsy, extracorporeal shock wave","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50590","description":"Lithotripsy, extracorporeal shock wave","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50592","description":"Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28615","description":"Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50593","description":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50593","description":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50593","description":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50593","description":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50593","description":"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, clavicle, with or without internal fixation;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23480","description":"Osteotomy, clavicle, with or without internal fixation;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23474","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral And Glenoid Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy with exploration or drainage (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50600","description":"Ureterotomy with exploration or drainage (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy with exploration or drainage (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50600","description":"Ureterotomy with exploration or drainage (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy with exploration or drainage (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50600","description":"Ureterotomy with exploration or drainage (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy with exploration or drainage (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50600","description":"Ureterotomy with exploration or drainage (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy with exploration or drainage (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50600","description":"Ureterotomy with exploration or drainage (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy, Insertion, Indwelling Stent, All Types","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50605","description":"Ureterotomy, Insertion, Indwelling Stent, All Types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy, Insertion, Indwelling Stent, All Types","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50605","description":"Ureterotomy, Insertion, Indwelling Stent, All Types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy, Insertion, Indwelling Stent, All Types","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50605","description":"Ureterotomy, Insertion, Indwelling Stent, All Types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy, Insertion, Indwelling Stent, All Types","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50605","description":"Ureterotomy, Insertion, Indwelling Stent, All Types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterotomy, Insertion, Indwelling Stent, All Types","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50605","description":"Ureterotomy, Insertion, Indwelling Stent, All Types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50606","description":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving la","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis; subtalar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28725","description":"Arthrodesis; subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23490","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; upper one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50610","description":"Ureterolithotomy; upper one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; upper one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50610","description":"Ureterolithotomy; upper one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; upper one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50610","description":"Ureterolithotomy; upper one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; upper one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50610","description":"Ureterolithotomy; upper one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; upper one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50610","description":"Ureterolithotomy; upper one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of clavicular fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23500","description":"Closed treatment of clavicular fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23491","description":"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of clavicular fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23505","description":"Closed treatment of clavicular fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; middle one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50620","description":"Ureterolithotomy; middle one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; middle one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50620","description":"Ureterolithotomy; middle one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; middle one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50620","description":"Ureterolithotomy; middle one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; middle one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50620","description":"Ureterolithotomy; middle one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; middle one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50620","description":"Ureterolithotomy; middle one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of sternoclavicular dislocation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23520","description":"Closed treatment of sternoclavicular dislocation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of clavicular fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23515","description":"Open treatment of clavicular fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; lower one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50630","description":"Ureterolithotomy; lower one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; lower one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50630","description":"Ureterolithotomy; lower one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; lower one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50630","description":"Ureterolithotomy; lower one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; lower one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50630","description":"Ureterolithotomy; lower one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolithotomy; lower one-third of ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50630","description":"Ureterolithotomy; lower one-third of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, great toe; interphalangeal joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28755","description":"Arthrodesis, great toe; interphalangeal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28750","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of sternoclavicular dislocation; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23525","description":"Closed treatment of sternoclavicular dislocation; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, with bladder cuff (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50650","description":"Ureterectomy, with bladder cuff (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, with bladder cuff (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50650","description":"Ureterectomy, with bladder cuff (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, with bladder cuff (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50650","description":"Ureterectomy, with bladder cuff (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, with bladder cuff (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50650","description":"Ureterectomy, with bladder cuff (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, with bladder cuff (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50650","description":"Ureterectomy, with bladder cuff (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28760","description":"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50684","description":"Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23530","description":"Open treatment of sternoclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50660","description":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50660","description":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50660","description":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50660","description":"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50693","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50694","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50695","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acromioclavicular dislocation; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23540","description":"Closed treatment of acromioclavicular dislocation; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of acromioclavicular dislocation; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23545","description":"Closed treatment of acromioclavicular dislocation; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23532","description":"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; transmetatarsal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28805","description":"Amputation, foot; transmetatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, foot; midtarsal (eg, Chopart type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28800","description":"Amputation, foot; midtarsal (eg, Chopart type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hi enrgy eswt plantar fascia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"28890","description":"Hi enrgy eswt plantar fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral embolization/occl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50705","description":"Ureteral embolization/occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, cast; shoulder to hand (long arm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29065","description":"Application, cast; shoulder to hand (long arm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroplasty, plastic operation on ureter (eg, stricture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50700","description":"Ureteroplasty, plastic operation on ureter (eg, stricture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroplasty, plastic operation on ureter (eg, stricture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50700","description":"Ureteroplasty, plastic operation on ureter (eg, stricture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroplasty, plastic operation on ureter (eg, stricture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50700","description":"Ureteroplasty, plastic operation on ureter (eg, stricture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroplasty, plastic operation on ureter (eg, stricture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50700","description":"Ureteroplasty, plastic operation on ureter (eg, stricture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroplasty, plastic operation on ureter (eg, stricture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50700","description":"Ureteroplasty, plastic operation on ureter (eg, stricture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Holotranscobalamin, quantitative","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50706","description":"Holotranscobalamin, quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, cast; elbow to finger (short arm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29075","description":"Application, cast; elbow to finger (short arm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply hand/wrist cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29085","description":"Apply hand/wrist cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23550","description":"Open treatment of acromioclavicular dislocation, acute or chronic;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply finger cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29086","description":"Apply finger cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29126","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50715","description":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50715","description":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50715","description":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50715","description":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50715","description":"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of scapular fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23570","description":"Closed treatment of scapular fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23552","description":"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Finger Splint; Static","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29130","description":"Application, Finger Splint; Static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder jo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23575","description":"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Finger Splint; Dynamic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29131","description":"Application, Finger Splint; Dynamic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Ovarian Vein Syndrome","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50722","description":"Ureterolysis, Ovarian Vein Syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Ovarian Vein Syndrome","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50722","description":"Ureterolysis, Ovarian Vein Syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Ovarian Vein Syndrome","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50722","description":"Ureterolysis, Ovarian Vein Syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Ovarian Vein Syndrome","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50722","description":"Ureterolysis, Ovarian Vein Syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50725","description":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50725","description":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50725","description":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50725","description":"Ureterolysis, Retrocaval Ureter, W/Reanastomosis, Upper Urinary Tract/Vena Cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; shoulder (eg, Velpeau)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29240","description":"Strapping; shoulder (eg, Velpeau)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; elbow or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29260","description":"Strapping; elbow or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23585","description":"Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50727","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50727","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50727","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50727","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; hand or finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29280","description":"Strapping; hand or finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23600","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50728","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50728","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50728","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50728","description":"Revision, Urinary-Cutaneous Anastomosis (Any Type Urostomy); W/Repair, Fascial Defect/Hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23605","description":"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Cast (Thigh To Toes);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29345","description":"Application, Long Leg Cast (Thigh To Toes);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29355","description":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Cylinder Cast (Thigh To Ankle)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29365","description":"Application, Cylinder Cast (Thigh To Ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply long leg cast brace","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29358","description":"Apply long leg cast brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50740","description":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50740","description":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50740","description":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50740","description":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50740","description":"Ureteropyelostomy, anastomosis of ureter and renal pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29405","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocalycostomy, anastomosis of ureter to renal calyx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50750","description":"Ureterocalycostomy, anastomosis of ureter to renal calyx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocalycostomy, anastomosis of ureter to renal calyx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50750","description":"Ureterocalycostomy, anastomosis of ureter to renal calyx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocalycostomy, anastomosis of ureter to renal calyx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50750","description":"Ureterocalycostomy, anastomosis of ureter to renal calyx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocalycostomy, anastomosis of ureter to renal calyx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50750","description":"Ureterocalycostomy, anastomosis of ureter to renal calyx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocalycostomy, anastomosis of ureter to renal calyx","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50750","description":"Ureterocalycostomy, anastomosis of ureter to renal calyx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29435","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29425","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Addition of walker to cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29440","description":"Addition of walker to cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply rigid leg cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29445","description":"Apply rigid leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Clubfoot Cast W/Molding/Manipulation, Long/Short Leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29450","description":"Application, Clubfoot Cast W/Molding/Manipulation, Long/Short Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Long Leg Splint (Thigh To Ankle/Toes)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29505","description":"Application, Long Leg Splint (Thigh To Ankle/Toes)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50770","description":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50770","description":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50770","description":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50770","description":"Transureteroureterostomy, anastomosis of ureter to contralateral ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23620","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroureterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50760","description":"Ureteroureterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroureterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50760","description":"Ureteroureterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroureterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50760","description":"Ureteroureterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroureterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50760","description":"Ureteroureterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroureterostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50760","description":"Ureteroureterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of greater humeral tuberosity fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23625","description":"Closed treatment of greater humeral tuberosity fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application, Short Leg Splint (Calf To Foot)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29515","description":"Application, Short Leg Splint (Calf To Foot)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; hip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29520","description":"Strapping; hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; knee","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29530","description":"Strapping; knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; ankle and/or foot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29540","description":"Strapping; ankle and/or foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with manipulation; without anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23650","description":"Closed treatment of shoulder dislocation, with manipulation; without anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23630","description":"Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of single ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50780","description":"Ureteroneocystostomy; anastomosis of single ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of single ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50780","description":"Ureteroneocystostomy; anastomosis of single ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of single ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50780","description":"Ureteroneocystostomy; anastomosis of single ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of single ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50780","description":"Ureteroneocystostomy; anastomosis of single ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of single ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50780","description":"Ureteroneocystostomy; anastomosis of single ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; toes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29550","description":"Strapping; toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Strapping; Unna boot","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29580","description":"Strapping; Unna boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23655","description":"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of multi-layer compression system; upper arm, forearm, hand, and fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29584","description":"Application of multi-layer compression system; upper arm, forearm, hand, and fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50782","description":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50782","description":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50782","description":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50782","description":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50782","description":"Ureteroneocystostomy; anastomosis of duplicated ureter to bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23665","description":"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29705","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23660","description":"Open treatment of acute shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with extensive ureteral tailoring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50783","description":"Ureteroneocystostomy; with extensive ureteral tailoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with extensive ureteral tailoring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50783","description":"Ureteroneocystostomy; with extensive ureteral tailoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with extensive ureteral tailoring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50783","description":"Ureteroneocystostomy; with extensive ureteral tailoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with extensive ureteral tailoring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50783","description":"Ureteroneocystostomy; with extensive ureteral tailoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with extensive ureteral tailoring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50783","description":"Ureteroneocystostomy; with extensive ureteral tailoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29710","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedging, Clubfoot Cast","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29750","description":"Wedging, Clubfoot Cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29800","description":"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23675","description":"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23670","description":"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or externa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50785","description":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50785","description":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50785","description":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50785","description":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50785","description":"Ureteroneocystostomy; with vesico-psoas hitch or bladder flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23700","description":"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23680","description":"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroenterostomy, direct anastomosis of ureter to intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50800","description":"Ureteroenterostomy, direct anastomosis of ureter to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroenterostomy, direct anastomosis of ureter to intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50800","description":"Ureteroenterostomy, direct anastomosis of ureter to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroenterostomy, direct anastomosis of ureter to intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50800","description":"Ureteroenterostomy, direct anastomosis of ureter to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroenterostomy, direct anastomosis of ureter to intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50800","description":"Ureteroenterostomy, direct anastomosis of ureter to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroenterostomy, direct anastomosis of ureter to intestine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50800","description":"Ureteroenterostomy, direct anastomosis of ureter to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29805","description":"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, temporomandibular joint, surgical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29804","description":"Arthroscopy, temporomandibular joint, surgical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; capsulorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29806","description":"Arthroscopy, shoulder, surgical; capsulorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50810","description":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50810","description":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50810","description":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50810","description":"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29807","description":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29819","description":"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocolon conduit, including intestine anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50815","description":"Ureterocolon conduit, including intestine anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocolon conduit, including intestine anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50815","description":"Ureterocolon conduit, including intestine anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocolon conduit, including intestine anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50815","description":"Ureterocolon conduit, including intestine anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocolon conduit, including intestine anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50815","description":"Ureterocolon conduit, including intestine anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterocolon conduit, including intestine anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50815","description":"Ureterocolon conduit, including intestine anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23800","description":"Arthrodesis, glenohumeral joint;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50820","description":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50820","description":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50820","description":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50820","description":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50820","description":"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23802","description":"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50825","description":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50825","description":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50825","description":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50825","description":"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Interthoracoscapular amputation (forequarter)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23900","description":"Interthoracoscapular amputation (forequarter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50830","description":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50830","description":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50830","description":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50830","description":"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder; Secondary Closure/Scar Revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23921","description":"Disarticulation, Shoulder; Secondary Closure/Scar Revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Disarticulation, Shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23920","description":"Disarticulation, Shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50840","description":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50840","description":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50840","description":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50840","description":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50840","description":"Replacement, All/Part, Ureter, Bowel Segment, W/Bowel Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50845","description":"Cutaneous appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50845","description":"Cutaneous appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50845","description":"Cutaneous appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50845","description":"Cutaneous appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, upper arm or elbow area; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23930","description":"Incision and drainage, upper arm or elbow area; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterostomy, transplantation of ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50860","description":"Ureterostomy, transplantation of ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterostomy, transplantation of ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50860","description":"Ureterostomy, transplantation of ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterostomy, transplantation of ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50860","description":"Ureterostomy, transplantation of ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterostomy, transplantation of ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50860","description":"Ureterostomy, transplantation of ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterostomy, transplantation of ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50860","description":"Ureterostomy, transplantation of ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, upper arm or elbow area; bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23931","description":"Incision and drainage, upper arm or elbow area; bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"23935","description":"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24000","description":"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29824","description":"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterorrhaphy, suture of ureter (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50900","description":"Ureterorrhaphy, suture of ureter (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterorrhaphy, suture of ureter (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50900","description":"Ureterorrhaphy, suture of ureter (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterorrhaphy, suture of ureter (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50900","description":"Ureterorrhaphy, suture of ureter (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterorrhaphy, suture of ureter (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50900","description":"Ureterorrhaphy, suture of ureter (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureterorrhaphy, suture of ureter (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50900","description":"Ureterorrhaphy, suture of ureter (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50920","description":"Closure, Ureterocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50920","description":"Closure, Ureterocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50920","description":"Closure, Ureterocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterocutaneous Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50920","description":"Closure, Ureterocutaneous Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29825","description":"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50930","description":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50930","description":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50930","description":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50930","description":"Closure, Ureterovisceral Fistula (W/Visceral Repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24065","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24066","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24006","description":"Arthrotomy, Elbow, W/Capsular Excision, Capsular Release (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29826","description":"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50945","description":"Laparoscopy, surgical; ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50945","description":"Laparoscopy, surgical; ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50945","description":"Laparoscopy, surgical; ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50945","description":"Laparoscopy, surgical; ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50945","description":"Laparoscopy, surgical; ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24071","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29828","description":"Arthroscopy, shoulder, surgical; biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29830","description":"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24073","description":"\"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50947","description":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50947","description":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50947","description":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50947","description":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50947","description":"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24075","description":"Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24076","description":"Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29834","description":"Arthroscopy, elbow, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50948","description":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50948","description":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50948","description":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50948","description":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50948","description":"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29835","description":"Arthroscopy, elbow, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50949","description":"Unlisted laparoscopy procedure, ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50949","description":"Unlisted laparoscopy procedure, ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50949","description":"Unlisted laparoscopy procedure, ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50949","description":"Unlisted laparoscopy procedure, ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, ureter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50949","description":"Unlisted laparoscopy procedure, ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50951","description":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24079","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29836","description":"Arthroscopy, elbow, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovial biopsy only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24100","description":"Arthrotomy, elbow; with synovial biopsy only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50953","description":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29837","description":"Arthroscopy, elbow, surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50955","description":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50961","description":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50957","description":"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50970","description":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24101","description":"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50972","description":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, elbow; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24102","description":"Arthrotomy, elbow; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, olecranon bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24105","description":"Excision, olecranon bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50974","description":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, elbow, surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29838","description":"Arthroscopy, elbow, surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50976","description":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29840","description":"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"50980","description":"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24110","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29843","description":"Arthroscopy, wrist, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24115","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51020","description":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51020","description":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51020","description":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51020","description":"Cystotomy/Cystostomy; W/Fulguration &/Or Insertion, Radioactive Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystostomy, cystotomy with drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51040","description":"Cystostomy, cystotomy with drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystostomy, cystotomy with drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51040","description":"Cystostomy, cystotomy with drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystostomy, cystotomy with drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51040","description":"Cystostomy, cystotomy with drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystostomy, cystotomy with drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51040","description":"Cystostomy, cystotomy with drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51045","description":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51045","description":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51045","description":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51045","description":"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29844","description":"Arthroscopy, wrist, surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24116","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Humerus; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24120","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29845","description":"Arthroscopy, wrist, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51050","description":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51050","description":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51050","description":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51050","description":"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transvesical ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51060","description":"Transvesical ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transvesical ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51060","description":"Transvesical ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transvesical ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51060","description":"Transvesical ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transvesical ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51060","description":"Transvesical ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29846","description":"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Head/Neck, Radius/Olecranon Process; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perivesical/Prevesical Space Abscess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51080","description":"Drainage, Perivesical/Prevesical Space Abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perivesical/Prevesical Space Abscess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51080","description":"Drainage, Perivesical/Prevesical Space Abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perivesical/Prevesical Space Abscess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51080","description":"Drainage, Perivesical/Prevesical Space Abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perivesical/Prevesical Space Abscess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51080","description":"Drainage, Perivesical/Prevesical Space Abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, wrist, surgical, with release of transverse carpal ligament","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29848","description":"Endoscopy, wrist, surgical, with release of transverse carpal ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29847","description":"Arthroscopy, wrist, surgical; internal fixation for fracture or instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29850","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51500","description":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51500","description":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51500","description":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51500","description":"Excision, Urachal Cyst/Sinus, W/Wo Umbilical Hernia Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, radial head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24130","description":"Excision, radial head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for simple excision of vesical neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51520","description":"Cystotomy; for simple excision of vesical neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for simple excision of vesical neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51520","description":"Cystotomy; for simple excision of vesical neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for simple excision of vesical neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51520","description":"Cystotomy; for simple excision of vesical neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for simple excision of vesical neck (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51520","description":"Cystotomy; for simple excision of vesical neck (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29851","description":"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Shaft/Distal Humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24134","description":"Sequestrectomy, Shaft/Distal Humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Radial Head/Neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24136","description":"Sequestrectomy, Radial Head/Neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Olecranon Process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24138","description":"Sequestrectomy, Olecranon Process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51525","description":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51525","description":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51525","description":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51525","description":"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51530","description":"Cystotomy; for excision of bladder tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51530","description":"Cystotomy; for excision of bladder tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51530","description":"Cystotomy; for excision of bladder tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy; for excision of bladder tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51530","description":"Cystotomy; for excision of bladder tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, Excision/Incision/Repair, Ureterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51535","description":"Cystotomy, Excision/Incision/Repair, Ureterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, Excision/Incision/Repair, Ureterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51535","description":"Cystotomy, Excision/Incision/Repair, Ureterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, Excision/Incision/Repair, Ureterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51535","description":"Cystotomy, Excision/Incision/Repair, Ureterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, Excision/Incision/Repair, Ureterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51535","description":"Cystotomy, Excision/Incision/Repair, Ureterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystotomy, Excision/Incision/Repair, Ureterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51535","description":"Cystotomy, Excision/Incision/Repair, Ureterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24140","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24145","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24147","description":"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51550","description":"Cystectomy, partial; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51550","description":"Cystectomy, partial; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51550","description":"Cystectomy, partial; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51550","description":"Cystectomy, partial; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29860","description":"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51555","description":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51555","description":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51555","description":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51555","description":"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24149","description":"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51565","description":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51565","description":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51565","description":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51565","description":"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29861","description":"Arthroscopy, hip, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, shaft or distal humerus;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24150","description":"Radical resection for tumor, shaft or distal humerus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51570","description":"Cystectomy, complete; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51570","description":"Cystectomy, complete; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51570","description":"Cystectomy, complete; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51570","description":"Cystectomy, complete; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radial head or neck;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24152","description":"Radical resection for tumor, radial head or neck;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29862","description":"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51575","description":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51575","description":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51575","description":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51575","description":"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Elbow Joint (Arthrectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24155","description":"Resection, Elbow Joint (Arthrectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implant removal; elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24160","description":"Implant removal; elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29863","description":"Arthroscopy, hip, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29866","description":"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29867","description":"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implant removal; radial head","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24164","description":"Implant removal; radial head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Upper Arm/Elbow Area; Subq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24200","description":"Removal, Fb, Upper Arm/Elbow Area; Subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51580","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51580","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51580","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51580","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29868","description":"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29870","description":"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51585","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51585","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51585","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51585","description":"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51590","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51590","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51590","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51590","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; for infection, lavage and drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29871","description":"Arthroscopy, knee, surgical; for infection, lavage and drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lateral release","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29873","description":"Arthroscopy, knee, surgical; with lateral release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, cho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29874","description":"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, cho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29876","description":"Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29877","description":"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29875","description":"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51595","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51595","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51595","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51595","description":"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Fb, Upper Arm/Elbow Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24201","description":"Removal, Fb, Upper Arm/Elbow Area; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for elbow arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24220","description":"Injection procedure for elbow arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51596","description":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51596","description":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51596","description":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51596","description":"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, elbow, under anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24300","description":"Manipulation, elbow, under anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or micr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29879","description":"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or micr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29880","description":"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29881","description":"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29882","description":"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51597","description":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51597","description":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51597","description":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51597","description":"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29883","description":"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24301","description":"Muscle/Tendon Transfer, Any Type, Upper Arm/Elbow, Single (Excluding 24320-24331)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51800","description":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51800","description":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51800","description":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51800","description":"Cystoplasty/Cystourethroplasty, Plastic Operation, Bladder &/Or Vesical Neck, Any Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24320","description":"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29884","description":"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24330","description":"Flexor-plasty, elbow (eg, Steindler type advancement);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51820","description":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51820","description":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51820","description":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51820","description":"Cystourethroplasty with unilateral or bilateral ureteroneocystostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29885","description":"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24331","description":"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51840","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51840","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51840","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51840","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51841","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51841","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51841","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51841","description":"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29886","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis, triceps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24332","description":"Tenolysis, triceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51845","description":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51845","description":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51845","description":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51845","description":"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29887","description":"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51860","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51860","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51860","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51860","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29888","description":"Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51865","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51865","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51865","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51865","description":"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24341","description":"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29889","description":"Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Cystostomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51880","description":"Closure, Cystostomy (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Cystostomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51880","description":"Closure, Cystostomy (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Cystostomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51880","description":"Closure, Cystostomy (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Cystostomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51880","description":"Closure, Cystostomy (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51900","description":"Closure, Vesicovaginal Fistula, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51900","description":"Closure, Vesicovaginal Fistula, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51900","description":"Closure, Vesicovaginal Fistula, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51900","description":"Closure, Vesicovaginal Fistula, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29891","description":"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic plantar fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29893","description":"Endoscopic plantar fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29892","description":"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lateral collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24343","description":"Repair lateral collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24344","description":"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51920","description":"Closure, Vesicouterine Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51920","description":"Closure, Vesicouterine Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51920","description":"Closure, Vesicouterine Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51920","description":"Closure, Vesicouterine Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula; W/Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51925","description":"Closure, Vesicouterine Fistula; W/Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula; W/Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51925","description":"Closure, Vesicouterine Fistula; W/Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula; W/Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51925","description":"Closure, Vesicouterine Fistula; W/Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula; W/Hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51925","description":"Closure, Vesicouterine Fistula; W/Hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29894","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair medial collateral ligament, elbow, with local tissue","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24345","description":"Repair medial collateral ligament, elbow, with local tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51940","description":"Closure, exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51940","description":"Closure, exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51940","description":"Closure, exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51940","description":"Closure, exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterocystoplasty, including intestinal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51960","description":"Enterocystoplasty, including intestinal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterocystoplasty, including intestinal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51960","description":"Enterocystoplasty, including intestinal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterocystoplasty, including intestinal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51960","description":"Enterocystoplasty, including intestinal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Enterocystoplasty, including intestinal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51960","description":"Enterocystoplasty, including intestinal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24357","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29895","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24346","description":"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24358","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51980","description":"Cutaneous vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51980","description":"Cutaneous vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51980","description":"Cutaneous vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cutaneous vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51980","description":"Cutaneous vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24359","description":"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; urethral suspension for stress incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51990","description":"Laparoscopy, surgical; urethral suspension for stress incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; urethral suspension for stress incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51990","description":"Laparoscopy, surgical; urethral suspension for stress incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; urethral suspension for stress incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51990","description":"Laparoscopy, surgical; urethral suspension for stress incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; urethral suspension for stress incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51990","description":"Laparoscopy, surgical; urethral suspension for stress incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29897","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with membrane (eg, fascial)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24360","description":"Arthroplasty, elbow; with membrane (eg, fascial)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51992","description":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51992","description":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51992","description":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"51992","description":"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclu","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52007","description":"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Removal, Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52320","description":"Cystourethroscopy; W/Removal, Ureteral Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Fragmentation, Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52325","description":"Cystourethroscopy; W/Fragmentation, Ureteral Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29898","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Subureteric Injection, Implant Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52327","description":"Cystourethroscopy; W/Subureteric Injection, Implant Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Manipulation, W/O Removal Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52330","description":"Cystourethroscopy; W/Manipulation, W/O Removal Ureteral Calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29900","description":"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29901","description":"Arthroscopy, metacarpophalangeal joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52341","description":"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29899","description":"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52332","description":"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29902","description":"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52342","description":"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52343","description":"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29904","description":"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52344","description":"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29905","description":"Arthroscopy, subtalar joint, surgical; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24370","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral Or Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, el","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52345","description":"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, el","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocauter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52346","description":"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocauter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterizati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52352","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterizati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with debridement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29906","description":"Arthroscopy, subtalar joint, surgical; with debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52354","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52353","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52355","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral sten","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"52356","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral sten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24371","description":"Revision Of Total Elbow Arthroplasty, Including Allograft When Performed; Humeral And Ulnar Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perineal Urinary Extravasation; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53085","description":"Drainage, Perineal Urinary Extravasation; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perineal Urinary Extravasation; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53085","description":"Drainage, Perineal Urinary Extravasation; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perineal Urinary Extravasation; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53085","description":"Drainage, Perineal Urinary Extravasation; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Perineal Urinary Extravasation; Complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53085","description":"Drainage, Perineal Urinary Extravasation; Complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, humerus, with or without internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24400","description":"Osteotomy, humerus, with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29907","description":"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24410","description":"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29914","description":"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24420","description":"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53210","description":"Urethrectomy, total, including cystostomy; female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53210","description":"Urethrectomy, total, including cystostomy; female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53210","description":"Urethrectomy, total, including cystostomy; female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53210","description":"Urethrectomy, total, including cystostomy; female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29915","description":"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53215","description":"Urethrectomy, total, including cystostomy; male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53215","description":"Urethrectomy, total, including cystostomy; male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53215","description":"Urethrectomy, total, including cystostomy; male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrectomy, total, including cystostomy; male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53215","description":"Urethrectomy, total, including cystostomy; male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, hip, surgical; with labral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29916","description":"Arthroscopy, hip, surgical; with labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"29999","description":"Unlisted procedure, arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24430","description":"Repair, Nonunion/Malunion, Humerus; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53230","description":"Excision, Urethral Diverticulum (Sep Proc); Female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53230","description":"Excision, Urethral Diverticulum (Sep Proc); Female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53230","description":"Excision, Urethral Diverticulum (Sep Proc); Female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Female","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53230","description":"Excision, Urethral Diverticulum (Sep Proc); Female","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53235","description":"Excision, Urethral Diverticulum (Sep Proc); Male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53235","description":"Excision, Urethral Diverticulum (Sep Proc); Male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53235","description":"Excision, Urethral Diverticulum (Sep Proc); Male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Urethral Diverticulum (Sep Proc); Male","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53235","description":"Excision, Urethral Diverticulum (Sep Proc); Male","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53400","description":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53400","description":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53400","description":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53400","description":"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30110","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, nasal polyp(s), extensive","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30115","description":"Excision, nasal polyp(s), extensive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24470","description":"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm, with brachial artery exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24495","description":"Decompression fasciotomy, forearm, with brachial artery exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision inferior turbinate, partial or complete, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30130","description":"Excision inferior turbinate, partial or complete, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision dermoid cyst, nose; complex, under bone or cartilage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30125","description":"Excision dermoid cyst, nose; complex, under bone or cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; second stage (formation of urethra), including urinary diversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53405","description":"Urethroplasty; second stage (formation of urethra), including urinary diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; second stage (formation of urethra), including urinary diversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53405","description":"Urethroplasty; second stage (formation of urethra), including urinary diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; second stage (formation of urethra), including urinary diversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53405","description":"Urethroplasty; second stage (formation of urethra), including urinary diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty; second stage (formation of urethra), including urinary diversion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53405","description":"Urethroplasty; second stage (formation of urethra), including urinary diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, one-stage reconstruction of male anterior urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53410","description":"Urethroplasty, one-stage reconstruction of male anterior urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Submucous resection inferior turbinate, partial or complete, any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30140","description":"Submucous resection inferior turbinate, partial or complete, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, one-stage reconstruction of male anterior urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53410","description":"Urethroplasty, one-stage reconstruction of male anterior urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, one-stage reconstruction of male anterior urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53410","description":"Urethroplasty, one-stage reconstruction of male anterior urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, one-stage reconstruction of male anterior urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53410","description":"Urethroplasty, one-stage reconstruction of male anterior urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24498","description":"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral shaft fracture; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24500","description":"Closed treatment of humeral shaft fracture; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinectomy; total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30160","description":"Rhinectomy; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53415","description":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53415","description":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53415","description":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53415","description":"Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24505","description":"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53425","description":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53425","description":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53425","description":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53425","description":"Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24515","description":"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30410","description":"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30430","description":"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24516","description":"Treatment, Humeral Shaft Fx, W/Insertion, Intramedullary Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without ma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24530","description":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without ma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30435","description":"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, reconstruction of female urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53430","description":"Urethroplasty, reconstruction of female urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, reconstruction of female urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53430","description":"Urethroplasty, reconstruction of female urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, reconstruction of female urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53430","description":"Urethroplasty, reconstruction of female urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, reconstruction of female urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53430","description":"Urethroplasty, reconstruction of female urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30450","description":"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53431","description":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53431","description":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53431","description":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53431","description":"Urethroplasty, W/Tubularization Posterior Urethra &/Or Lower Bladder, Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manip","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24535","description":"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53440","description":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53440","description":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53440","description":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53440","description":"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extensi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24538","description":"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extensi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30460","description":"Rhinoplasty, Nasal Deformity Secondary To Cong Cleft Lip/Palate, W/Columellar Lengthening; Tip Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Revision Of Sling For Male Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53442","description":"Removal, Revision Of Sling For Male Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Revision Of Sling For Male Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53442","description":"Removal, Revision Of Sling For Male Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Revision Of Sling For Male Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53442","description":"Removal, Revision Of Sling For Male Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Revision Of Sling For Male Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53442","description":"Removal, Revision Of Sling For Male Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tandem cuff (dual cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53444","description":"Insertion of tandem cuff (dual cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tandem cuff (dual cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53444","description":"Insertion of tandem cuff (dual cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tandem cuff (dual cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53444","description":"Insertion of tandem cuff (dual cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of tandem cuff (dual cuff)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53444","description":"Insertion of tandem cuff (dual cuff)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30462","description":"Rhinoplasty, Nasal Deform Sec To Cong Cleft Lip/Palat, W/Columellar Lengthen; Tip/Septum/Osteotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24560","description":"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24565","description":"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24566","description":"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30540","description":"Repair choanal atresia; intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53445","description":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53445","description":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53445","description":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53445","description":"Insertion, Inflatable Urethra/Bladder Neck Sphincter, W/Placement Pump &/Or Reservoir & Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair choanal atresia; transpalatine","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30545","description":"Repair choanal atresia; transpalatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30901","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"30903","description":"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24575","description":"Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53446","description":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53446","description":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53446","description":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53446","description":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lavage, Cannulation; Maxillary Sinus (Antrum Puncture/Natural Ostium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31000","description":"Lavage, Cannulation; Maxillary Sinus (Antrum Puncture/Natural Ostium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lavage, Cannulation; Sphenoid Sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31002","description":"Lavage, Cannulation; Sphenoid Sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24576","description":"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24577","description":"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); intranasal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31020","description":"Sinusotomy, maxillary (antrotomy); intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24579","description":"Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53448","description":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53448","description":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53448","description":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53448","description":"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31030","description":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24582","description":"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31032","description":"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53449","description":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53449","description":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53449","description":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53449","description":"Repair, Inflatable Urethral/Bladder Neck Sphincter Device, Incl Pump/Reservoir/Cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pterygomaxillary fossa surgery, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31040","description":"Pterygomaxillary fossa surgery, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, sphenoid, with or without biopsy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31050","description":"Sinusotomy, sphenoid, with or without biopsy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31051","description":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24586","description":"Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53500","description":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53500","description":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53500","description":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53500","description":"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; external, simple (trephine operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31070","description":"Sinusotomy frontal; external, simple (trephine operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; penile","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53505","description":"Urethrorrhaphy, suture of urethral wound or injury; penile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; penile","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53505","description":"Urethrorrhaphy, suture of urethral wound or injury; penile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; penile","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53505","description":"Urethrorrhaphy, suture of urethral wound or injury; penile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; penile","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53505","description":"Urethrorrhaphy, suture of urethral wound or injury; penile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31075","description":"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; perineal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53510","description":"Urethrorrhaphy, suture of urethral wound or injury; perineal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; perineal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53510","description":"Urethrorrhaphy, suture of urethral wound or injury; perineal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; perineal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53510","description":"Urethrorrhaphy, suture of urethral wound or injury; perineal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; perineal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53510","description":"Urethrorrhaphy, suture of urethral wound or injury; perineal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Closed Elbow Dislocation; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24600","description":"Treatment, Closed Elbow Dislocation; W/O Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24605","description":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53515","description":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53515","description":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53515","description":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"53515","description":"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31080","description":"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of acute or chronic elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24615","description":"Open treatment of acute or chronic elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of r","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24620","description":"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31081","description":"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54110","description":"Excision, Penile Plaque (Peyronie Disease);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54110","description":"Excision, Penile Plaque (Peyronie Disease);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54110","description":"Excision, Penile Plaque (Peyronie Disease);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54110","description":"Excision, Penile Plaque (Peyronie Disease);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31084","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24635","description":"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54111","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54111","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54111","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54111","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24640","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24650","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31085","description":"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54112","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54112","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54112","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54112","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body from deep penile tissue (eg, plastic implant)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54115","description":"Removal foreign body from deep penile tissue (eg, plastic implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body from deep penile tissue (eg, plastic implant)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54115","description":"Removal foreign body from deep penile tissue (eg, plastic implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body from deep penile tissue (eg, plastic implant)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54115","description":"Removal foreign body from deep penile tissue (eg, plastic implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body from deep penile tissue (eg, plastic implant)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54115","description":"Removal foreign body from deep penile tissue (eg, plastic implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of radial head or neck fracture; with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24655","description":"Closed treatment of radial head or neck fracture; with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24665","description":"Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54120","description":"Amputation, Penis; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54120","description":"Amputation, Penis; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54120","description":"Amputation, Penis; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54120","description":"Amputation, Penis; Partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31086","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31087","description":"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24670","description":"Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54125","description":"Amputation, Penis; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54125","description":"Amputation, Penis; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54125","description":"Amputation, Penis; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54125","description":"Amputation, Penis; Complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sinusotomy, unilateral, three or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31090","description":"Sinusotomy, unilateral, three or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; intranasal, anterior","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31200","description":"Ethmoidectomy; intranasal, anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; intranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31201","description":"Ethmoidectomy; intranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54130","description":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54130","description":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54130","description":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54130","description":"Amputation, Penis, Radical; W/Bilat Inguinofemoral Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24675","description":"Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; extranasal, total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31205","description":"Ethmoidectomy; extranasal, total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54135","description":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54135","description":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54135","description":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54135","description":"Amputation, Penis, Radical; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24685","description":"Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for Peyronie disease; with surgical exposure of plaque","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54205","description":"Injection procedure for Peyronie disease; with surgical exposure of plaque","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for Peyronie disease; with surgical exposure of plaque","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54205","description":"Injection procedure for Peyronie disease; with surgical exposure of plaque","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for Peyronie disease; with surgical exposure of plaque","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54205","description":"Injection procedure for Peyronie disease; with surgical exposure of plaque","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for Peyronie disease; with surgical exposure of plaque","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54205","description":"Injection procedure for Peyronie disease; with surgical exposure of plaque","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; without orbital exenteration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31225","description":"Maxillectomy; without orbital exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; local","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24800","description":"Arthrodesis, elbow joint; local","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Maxillectomy; with orbital exenteration (en bloc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31230","description":"Maxillectomy; with orbital exenteration (en bloc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24802","description":"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54300","description":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54300","description":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54300","description":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54304","description":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54300","description":"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54304","description":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54304","description":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31233","description":"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54304","description":"Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31235","description":"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54308","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54308","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54308","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54308","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31237","description":"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with primary closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24900","description":"Amputation, arm through humerus; with primary closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31238","description":"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31239","description":"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54312","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54312","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54312","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54312","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); > 3 Cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; open, circular (guillotine)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24920","description":"Amputation, arm through humerus; open, circular (guillotine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with concha bullosa resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31240","description":"Nasal/sinus endoscopy, surgical; with concha bullosa resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54316","description":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54316","description":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54316","description":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54316","description":"Urethroplasty, 2nd Stage Hypospadias Repair W/Free Skin Graft (Non-Genitalia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31241","description":"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31253","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; secondary closure or scar revision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24925","description":"Amputation, arm through humerus; secondary closure or scar revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31254","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31255","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; re-amputation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24930","description":"Amputation, arm through humerus; re-amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54318","description":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54318","description":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54318","description":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54318","description":"Urethroplasty, 3rd Stage Hypospadias Repair, Release Penis From Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31256","description":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31257","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31259","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54322","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54322","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54322","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54322","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31267","description":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, arm through humerus; with implant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24931","description":"Amputation, arm through humerus; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31276","description":"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Stump elongation, upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24935","description":"Stump elongation, upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with sphenoidotomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31287","description":"Nasal/sinus endoscopy, surgical, with sphenoidotomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54324","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54324","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54324","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54324","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54326","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54326","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54326","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54326","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cineplasty, upper extremity, complete procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24940","description":"Cineplasty, upper extremity, complete procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31288","description":"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31290","description":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54328","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54328","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54328","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54328","description":"One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, extensor tendon sheath, wrist (eg, deQuervains disease)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25000","description":"Incision, extensor tendon sheath, wrist (eg, deQuervains disease)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"24999","description":"Unlisted procedure, humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31291","description":"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31292","description":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31293","description":"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25001","description":"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist; flexor OR extensor compartment; without debridement of nonviable muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25020","description":"Decompression fasciotomy, forearm and/or wrist; flexor OR extensor compartment; without debridement of nonviable muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25023","description":"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with optic nerve decompression","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31294","description":"Nasal/sinus endoscopy, surgical, with optic nerve decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25024","description":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25025","description":"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, forearm and/or wrist; deep abscess or hematoma","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25028","description":"Incision and drainage, forearm and/or wrist; deep abscess or hematoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31295","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage, forearm and/or wrist; bursa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25031","description":"Incision and drainage, forearm and/or wrist; bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25035","description":"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54332","description":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54332","description":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54332","description":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54332","description":"One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31297","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54336","description":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54336","description":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54336","description":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54336","description":"One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25040","description":"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31298","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25065","description":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Forearm &/Or Wrist; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25066","description":"Bx, Soft Tissue, Forearm &/Or Wrist; Deep (Subfascial/Im)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54340","description":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54340","description":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54340","description":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54340","description":"Repair, Hypospadias Complications; Simple Closure/Incision/Excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54344","description":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54344","description":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54344","description":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54344","description":"Repair, Hypospadias Complications; W/Mobilization/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25071","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31365","description":"Laryngectomy; total, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54348","description":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54348","description":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54348","description":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54348","description":"Repair, Hypospadias Complications; W/Extensive Dissection/Urethroplasty W/Flap/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25075","description":"Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25073","description":"\"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25076","description":"Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54352","description":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54352","description":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54352","description":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54352","description":"Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25077","description":"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis to correct angulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54360","description":"Plastic operation on penis to correct angulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis to correct angulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54360","description":"Plastic operation on penis to correct angulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis to correct angulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54360","description":"Plastic operation on penis to correct angulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis to correct angulation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54360","description":"Plastic operation on penis to correct angulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31367","description":"Laryngectomy; subtotal supraglottic, without radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54380","description":"Plastic operation on penis for epispadias distal to external sphincter;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54380","description":"Plastic operation on penis for epispadias distal to external sphincter;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54380","description":"Plastic operation on penis for epispadias distal to external sphincter;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54380","description":"Plastic operation on penis for epispadias distal to external sphincter;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngectomy; subtotal supraglottic, with radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31368","description":"Laryngectomy; subtotal supraglottic, with radical neck dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54385","description":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54385","description":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54385","description":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54385","description":"Plastic operation on penis for epispadias distal to external sphincter; with incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25078","description":"\"Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); horizontal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31370","description":"Partial laryngectomy (hemilaryngectomy); horizontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); laterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31375","description":"Partial laryngectomy (hemilaryngectomy); laterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25100","description":"Arthrotomy, wrist joint; with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54390","description":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54390","description":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54390","description":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54390","description":"Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign bod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25101","description":"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign bod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulotomy, wrist (eg, contracture)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25085","description":"Capsulotomy, wrist (eg, contracture)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, wrist joint; with synovectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25105","description":"Arthrotomy, wrist joint; with synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54405","description":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54405","description":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54405","description":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54405","description":"Insertion, (Multi-Component) Inflatable Penile Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); anterovertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31380","description":"Partial laryngectomy (hemilaryngectomy); anterovertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31382","description":"Partial laryngectomy (hemilaryngectomy); antero-latero-vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54406","description":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54406","description":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54406","description":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54406","description":"Removal, Multi-Component Inflatable Penile Prosthesis W/O Replacement Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tendon, forearm and/or wrist, flexor or extensor, each","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25109","description":"Excision of tendon, forearm and/or wrist, flexor or extensor, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, lesion of tendon sheath, forearm and/or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25110","description":"Excision, lesion of tendon sheath, forearm and/or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31390","description":"Pharyngolaryngectomy, with radical neck dissection; without reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25107","description":"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of component(s) of a multi-component, inflatable penile prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54408","description":"Repair of component(s) of a multi-component, inflatable penile prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of component(s) of a multi-component, inflatable penile prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54408","description":"Repair of component(s) of a multi-component, inflatable penile prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of component(s) of a multi-component, inflatable penile prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54408","description":"Repair of component(s) of a multi-component, inflatable penile prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ganglion, Wrist (Dorsal/Volar); Primary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25111","description":"Excision, Ganglion, Wrist (Dorsal/Volar); Primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of component(s) of a multi-component, inflatable penile prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54408","description":"Repair of component(s) of a multi-component, inflatable penile prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Ganglion, Wrist (Dorsal/Volar); Recurrent","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25112","description":"Excision, Ganglion, Wrist (Dorsal/Volar); Recurrent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25115","description":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arytenoidectomy/Arytenoidopexy, Ext Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31400","description":"Arytenoidectomy/Arytenoidopexy, Ext Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25116","description":"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25118","description":"Synovectomy, extensor tendon sheath, wrist, single compartment;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31545","description":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54411","description":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54411","description":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54411","description":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54411","description":"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54415","description":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54415","description":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54415","description":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54415","description":"Removal, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis W/O Replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Epiglottidectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31420","description":"Epiglottidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31546","description":"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31572","description":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25120","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25119","description":"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31573","description":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25125","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31574","description":"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54417","description":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54417","description":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54417","description":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54417","description":"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty, medialization, unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31591","description":"Laryngoplasty, medialization, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal reinnervation by neuromuscular pedicle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31590","description":"Laryngeal reinnervation by neuromuscular pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25126","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Radius/Ulna; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25130","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, planned (separate procedure); under two years","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31601","description":"Tracheostomy, planned (separate procedure); under two years","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31611","description":"Construction, Tracheoesophageal Fistula, W/Subsequent Insertion Alaryngeal Speech Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25135","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31634","description":"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25136","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Carpal Bones; W/Allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31750","description":"Tracheoplasty; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; tracheopharyngeal fistulization, each stage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31755","description":"Tracheoplasty; tracheopharyngeal fistulization, each stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sequestrectomy, Forearm &/Or Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25145","description":"Sequestrectomy, Forearm &/Or Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25150","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoplasty; intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31760","description":"Tracheoplasty; intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carinal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31766","description":"Carinal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25151","description":"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; graft repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31770","description":"Bronchoplasty; graft repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoplasty; excision stenosis and anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31775","description":"Bronchoplasty; excision stenosis and anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection for tumor, radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25170","description":"Radical resection for tumor, radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54420","description":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54420","description":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54420","description":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54420","description":"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radial styloidectomy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25230","description":"Radial styloidectomy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31780","description":"Excision tracheal stenosis and anastomosis; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54430","description":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54430","description":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54430","description":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54430","description":"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision distal ulna partial or complete (eg, Darrach type or matched resection)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25240","description":"Excision distal ulna partial or complete (eg, Darrach type or matched resection)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for wrist arthrography","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25246","description":"Injection procedure for wrist arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision tracheal stenosis and anastomosis; cervicothoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31781","description":"Excision tracheal stenosis and anastomosis; cervicothoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of traumatic corporeal tear(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54437","description":"Repair of traumatic corporeal tear(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of traumatic corporeal tear(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54437","description":"Repair of traumatic corporeal tear(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of traumatic corporeal tear(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54437","description":"Repair of traumatic corporeal tear(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of traumatic corporeal tear(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54437","description":"Repair of traumatic corporeal tear(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Cervical","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31785","description":"Excision, Tracheal Tumor/Carcinoma; Cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, penis, complete amputation including urethral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54438","description":"Replantation, penis, complete amputation including urethral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, penis, complete amputation including urethral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54438","description":"Replantation, penis, complete amputation including urethral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, penis, complete amputation including urethral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54438","description":"Replantation, penis, complete amputation including urethral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replantation, penis, complete amputation including urethral repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54438","description":"Replantation, penis, complete amputation including urethral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Tracheal Tumor/Carcinoma; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31786","description":"Excision, Tracheal Tumor/Carcinoma; Thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture, Tracheal Wound/Injury; Intrathoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"31805","description":"Suture, Tracheal Wound/Injury; Intrathoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration with removal of deep foreign body, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25248","description":"Exploration with removal of deep foreign body, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54440","description":"Plastic operation of penis for injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54440","description":"Plastic operation of penis for injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54440","description":"Plastic operation of penis for injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation of penis for injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54440","description":"Plastic operation of penis for injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Testis, Needle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54500","description":"Bx, Testis, Needle (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with rib resection for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32035","description":"Thoracostomy; with rib resection for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Testis, Incisional (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54505","description":"Bx, Testis, Incisional (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy; with open flap drainage for empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32036","description":"Thoracostomy; with open flap drainage for empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Extraparenchymal Lesion, Testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54512","description":"Excision, Extraparenchymal Lesion, Testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54520","description":"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25250","description":"Removal, Wrist Prosthesis; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32096","description":"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation, wrist, under anesthesia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25259","description":"Manipulation, wrist, under anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25251","description":"Removal, Wrist Prosthesis; Complicated, W/Total Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32097","description":"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54522","description":"Orchiectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54522","description":"Orchiectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54522","description":"Orchiectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54522","description":"Orchiectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54522","description":"Orchiectomy, partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25263","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, with biopsy(ies) of pleura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32098","description":"Thoracotomy, with biopsy(ies) of pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54530","description":"Orchiectomy, radical, for tumor; inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54530","description":"Orchiectomy, radical, for tumor; inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54530","description":"Orchiectomy, radical, for tumor; inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54530","description":"Orchiectomy, radical, for tumor; inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; inguinal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54530","description":"Orchiectomy, radical, for tumor; inguinal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with exploration and biopsy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32100","description":"Thoracotomy, major; with exploration and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25265","description":"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25275","description":"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; with abdominal exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54535","description":"Orchiectomy, radical, for tumor; with abdominal exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; with abdominal exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54535","description":"Orchiectomy, radical, for tumor; with abdominal exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; with abdominal exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54535","description":"Orchiectomy, radical, for tumor; with abdominal exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; with abdominal exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54535","description":"Orchiectomy, radical, for tumor; with abdominal exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy, radical, for tumor; with abdominal exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54535","description":"Orchiectomy, radical, for tumor; with abdominal exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54550","description":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54550","description":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54550","description":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54550","description":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54550","description":"Exploration, Undescended Testis (Inguinal/Scrotal Area)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; for postoperative complications","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32120","description":"Thoracotomy, major; for postoperative complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; flexors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25300","description":"Tenodesis at wrist; flexors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reduction, Torsion, Testis, Surgical, W/Wo Fixation, Contralateral Testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54600","description":"Reduction, Torsion, Testis, Surgical, W/Wo Fixation, Contralateral Testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis W/Abdominal Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54560","description":"Exploration, Undescended Testis W/Abdominal Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis W/Abdominal Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54560","description":"Exploration, Undescended Testis W/Abdominal Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis W/Abdominal Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54560","description":"Exploration, Undescended Testis W/Abdominal Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis W/Abdominal Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54560","description":"Exploration, Undescended Testis W/Abdominal Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exploration, Undescended Testis W/Abdominal Exploration","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54560","description":"Exploration, Undescended Testis W/Abdominal Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fixation, Contralateral Testis (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54620","description":"Fixation, Contralateral Testis (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tenodesis at wrist; extensors of fingers","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25301","description":"Tenodesis at wrist; extensors of fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with open intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32124","description":"Thoracotomy, major; with open intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25310","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, inguinal or scrotal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54640","description":"Orchiopexy, inguinal or scrotal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32140","description":"Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Testicular Prosthesis (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54660","description":"Insertion, Testicular Prosthesis (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32141","description":"Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54650","description":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54650","description":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54650","description":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54650","description":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54650","description":"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25312","description":"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32150","description":"Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture/Repair, Testicular Injury","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54670","description":"Suture/Repair, Testicular Injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25315","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with removal of intrapulmonary foreign body","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32151","description":"Thoracotomy, major; with removal of intrapulmonary foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54680","description":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54680","description":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54680","description":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54680","description":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54680","description":"Transplantation, Testis(Es) To Thigh (For Scrotal Destruction)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25316","description":"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with cardiac massage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32160","description":"Thoracotomy, major; with cardiac massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54690","description":"Laparoscopy, surgical; orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54690","description":"Laparoscopy, surgical; orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54690","description":"Laparoscopy, surgical; orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54690","description":"Laparoscopy, surgical; orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54690","description":"Laparoscopy, surgical; orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; orchiopexy for intra-abdominal testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54692","description":"Laparoscopy, surgical; orchiopexy for intra-abdominal testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25320","description":"Capsulorrhaphy/Reconstruction, Wrist, Open, W/Synovect/Capsulotomy/Open Reduct, Carpal Instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonostomy; with open drainage of abscess or cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32200","description":"Pneumonostomy; with open drainage of abscess or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25332","description":"Arthroplasty, wrist; with or without interposition, with or without external or internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural scarification for repeat pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32215","description":"Pleural scarification for repeat pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54700","description":"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Epididymis, Needle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54800","description":"Bx, Epididymis, Needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Local Lesion, Epididymis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54830","description":"Excision, Local Lesion, Epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Spermatocele, W/Wo Epididymectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"54840","description":"Excision, Spermatocele, W/Wo Epididymectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25337","description":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); total","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32220","description":"Decortication, pulmonary (separate procedure); total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Centralization, Wrist On Ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25335","description":"Centralization, Wrist On Ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55000","description":"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Tunica Vaginalis Hydrocele (Bottle Type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55060","description":"Repair, Tunica Vaginalis Hydrocele (Bottle Type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32110","description":"Thoracotomy, major; with control of traumatic hemorrhage and/or repair of lung tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication, pulmonary (separate procedure); partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32225","description":"Decortication, pulmonary (separate procedure); partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55150","description":"Resection, Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55150","description":"Resection, Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55150","description":"Resection, Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Scrotum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55150","description":"Resection, Scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleurectomy, parietal (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32310","description":"Pleurectomy, parietal (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Decortication and parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32320","description":"Decortication and parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Hydrocele, Spermatic Cord, Unilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55500","description":"Excision, Hydrocele, Spermatic Cord, Unilat (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vasovasostomy, vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55400","description":"Vasovasostomy, vasovasorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vasovasostomy, vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55400","description":"Vasovasostomy, vasovasorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vasovasostomy, vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55400","description":"Vasovasostomy, vasovasorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vasovasostomy, vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55400","description":"Vasovasostomy, vasovasorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vasovasostomy, vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55400","description":"Vasovasostomy, vasovasorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32442","description":"Removal, Lung, Total Pneumonectomy; W/Resection, Broncho/Tracheal Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25360","description":"Osteotomy; ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Spermatic Cord (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55520","description":"Excision, Lesion, Spermatic Cord (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Spermatic Cord (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55520","description":"Excision, Lesion, Spermatic Cord (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Spermatic Cord (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55520","description":"Excision, Lesion, Spermatic Cord (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Spermatic Cord (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55520","description":"Excision, Lesion, Spermatic Cord (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Spermatic Cord (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55520","description":"Excision, Lesion, Spermatic Cord (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55530","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy; radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25365","description":"Osteotomy; radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy; Extrapleural","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32445","description":"Removal, Lung, Total Pneumonectomy; Extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25370","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32480","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Lobe (Lobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55535","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55535","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55535","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55535","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55535","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; W/Hernia Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55540","description":"Excision, Varicocele/Ligation, Spermatic Veins, Varicocele; W/Hernia Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32482","description":"Removal, Lung, Other Than Total Pneumonectomy; Two Lobes (Bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25375","description":"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55550","description":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55550","description":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55550","description":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55550","description":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55550","description":"Laparoscopy, surgical, with ligation of spermatic veins for varicocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculotomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55600","description":"Vesiculotomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; shortening","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25390","description":"Osteoplasty, radius OR ulna; shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32484","description":"Removal, Lung, Other Than Total Pneumonectomy; Single Segment (Segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculotomy; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55605","description":"Vesiculotomy; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius OR ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25391","description":"Osteoplasty, radius OR ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32486","description":"Removal, Lung, Other Than Total Pneumonectomy; W/Resection, Bronchus Segmnt, W/Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculectomy, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55650","description":"Vesiculectomy, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculectomy, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55650","description":"Vesiculectomy, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculectomy, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55650","description":"Vesiculectomy, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculectomy, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55650","description":"Vesiculectomy, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculectomy, any approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55650","description":"Vesiculectomy, any approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Mullerian Duct Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55680","description":"Excision, Mullerian Duct Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32488","description":"Removal, Lung, Other Than Total Pneumonectomy; Remaining Lung, Following Prior Removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25392","description":"Osteoplasty, radius AND ulna; shortening (excluding 64876)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32491","description":"Removal, Lung, Other Than Total Pneumonectomy; Excision-Plication, Emphysematous Lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteoplasty, radius AND ulna; lengthening with autograft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25393","description":"Osteoplasty, radius AND ulna; lengthening with autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55706","description":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55706","description":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55706","description":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55706","description":"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32501","description":"Resection/Repair, Portion, Bronchus, During Lobectomy/Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55720","description":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55720","description":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55720","description":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55720","description":"Prostatotomy, external drainage of prostatic abscess, any approach; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55725","description":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55725","description":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55725","description":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55725","description":"Prostatotomy, external drainage of prostatic abscess, any approach; complicated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55801","description":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55801","description":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55801","description":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55801","description":"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibrati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32504","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32505","description":"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55810","description":"Prostatectomy, perineal radical;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55810","description":"Prostatectomy, perineal radical;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55810","description":"Prostatectomy, perineal radical;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55810","description":"Prostatectomy, perineal radical;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32506","description":"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32507","description":"Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55821","description":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55821","description":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55821","description":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55821","description":"Prostatectomy; Suprapubic, Subtotal, 1/2 Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55815","description":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55815","description":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55815","description":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55815","description":"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obtura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Extrapleural enucleation of empyema (empyemectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32540","description":"Extrapleural enucleation of empyema (empyemectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32551","description":"Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Retropubic, Subtotal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55831","description":"Prostatectomy; Retropubic, Subtotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Retropubic, Subtotal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55831","description":"Prostatectomy; Retropubic, Subtotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Retropubic, Subtotal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55831","description":"Prostatectomy; Retropubic, Subtotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy; Retropubic, Subtotal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55831","description":"Prostatectomy; Retropubic, Subtotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32554","description":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32553","description":"\"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55840","description":"Prostatectomy, retropubic radical, with or without nerve sparing;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55840","description":"Prostatectomy, retropubic radical, with or without nerve sparing;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55840","description":"Prostatectomy, retropubic radical, with or without nerve sparing;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55840","description":"Prostatectomy, retropubic radical, with or without nerve sparing;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32555","description":"Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32556","description":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32557","description":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55842","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55842","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55842","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55842","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55845","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55845","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55845","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55845","description":"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including exter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55862","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55862","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55862","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55862","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Lymph Node Bx (Limited Pelvic Lymphadenect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32561","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32562","description":"\"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break-up of multiloculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55865","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55865","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55865","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55865","description":"Exposure, Prostate, Any Approach, Radiation Insertion; W/Bilat Pelvic Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32650","description":"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55866","description":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55866","description":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55866","description":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55866","description":"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with partial pulmonary decortication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32651","description":"Thoracoscopy, surgical; with partial pulmonary decortication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55867","description":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55867","description":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55867","description":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55867","description":"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56620","description":"Vulvectomy simple; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56620","description":"Vulvectomy simple; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56620","description":"Vulvectomy simple; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; partial","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56620","description":"Vulvectomy simple; partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56625","description":"Vulvectomy simple; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56625","description":"Vulvectomy simple; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56625","description":"Vulvectomy simple; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy simple; complete","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56625","description":"Vulvectomy simple; complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32652","description":"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32653","description":"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56630","description":"Vulvectomy, radical, partial;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56630","description":"Vulvectomy, radical, partial;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56630","description":"Vulvectomy, radical, partial;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56630","description":"Vulvectomy, radical, partial;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with control of traumatic hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32654","description":"Thoracoscopy, surgical; with control of traumatic hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56631","description":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56631","description":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56631","description":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56631","description":"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56632","description":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56632","description":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56632","description":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56632","description":"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32655","description":"Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56633","description":"Vulvectomy, radical, complete;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56633","description":"Vulvectomy, radical, complete;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56633","description":"Vulvectomy, radical, complete;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56633","description":"Vulvectomy, radical, complete;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56634","description":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56634","description":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56634","description":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56634","description":"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with parietal pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32656","description":"Thoracoscopy, surgical; with parietal pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32658","description":"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56637","description":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56637","description":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56637","description":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56637","description":"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32659","description":"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56640","description":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56640","description":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56640","description":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56640","description":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56640","description":"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32661","description":"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Bartholin's Gland/Cyst","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56740","description":"Excision, Bartholin's Gland/Cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial hymenectomy or revision of hymenal ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56700","description":"Partial hymenectomy or revision of hymenal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial hymenectomy or revision of hymenal ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56700","description":"Partial hymenectomy or revision of hymenal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial hymenectomy or revision of hymenal ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56700","description":"Partial hymenectomy or revision of hymenal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Partial hymenectomy or revision of hymenal ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56700","description":"Partial hymenectomy or revision of hymenal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32662","description":"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of introitus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56800","description":"Plastic repair of introitus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of introitus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56800","description":"Plastic repair of introitus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of introitus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56800","description":"Plastic repair of introitus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of introitus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56800","description":"Plastic repair of introitus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with lobectomy, total or segmental","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32663","description":"Thoracoscopy, surgical; with lobectomy, total or segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Clitoroplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56805","description":"Clitoroplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Clitoroplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56805","description":"Clitoroplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Clitoroplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56805","description":"Clitoroplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Clitoroplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56805","description":"Clitoroplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56810","description":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56810","description":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56810","description":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"56810","description":"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57106","description":"Vaginectomy, partial removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57106","description":"Vaginectomy, partial removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57106","description":"Vaginectomy, partial removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57106","description":"Vaginectomy, partial removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32665","description":"Thoracoscopy, surgical; with esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57107","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57107","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57107","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57107","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32666","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57109","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57109","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57109","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57109","description":"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32667","description":"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57110","description":"Vaginectomy, complete removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57110","description":"Vaginectomy, complete removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57110","description":"Vaginectomy, complete removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57110","description":"Vaginectomy, complete removal of vaginal wall;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32668","description":"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57111","description":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57111","description":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57111","description":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57111","description":"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32669","description":"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32670","description":"Thoracoscopy, surgical; with removal of 2 lobes (bilobectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpocleisis (Le Fort type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57120","description":"Colpocleisis (Le Fort type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpocleisis (Le Fort type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57120","description":"Colpocleisis (Le Fort type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpocleisis (Le Fort type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57120","description":"Colpocleisis (Le Fort type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpocleisis (Le Fort type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57120","description":"Colpocleisis (Le Fort type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32671","description":"Thoracoscopy, surgical; with removal of lung (pneumonectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Vaginal Septum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57130","description":"Excision, Vaginal Septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Vaginal Septum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57130","description":"Excision, Vaginal Septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Vaginal Septum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57130","description":"Excision, Vaginal Septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Vaginal Septum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57130","description":"Excision, Vaginal Septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57200","description":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57200","description":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57200","description":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57200","description":"Colporrhaphy, suture of injury of vagina (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57210","description":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57210","description":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57210","description":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57210","description":"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32673","description":"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57220","description":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57220","description":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57220","description":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57220","description":"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32674","description":"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of urethrocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57230","description":"Plastic repair of urethrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of urethrocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57230","description":"Plastic repair of urethrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of urethrocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57230","description":"Plastic repair of urethrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Plastic repair of urethrocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57230","description":"Plastic repair of urethrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia through chest wall","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32800","description":"Repair lung hernia through chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57240","description":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57240","description":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57240","description":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57240","description":"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Chest Wall Following Open Flap Drainage, Empyema","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32810","description":"Closure, Chest Wall Following Open Flap Drainage, Empyema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57250","description":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57250","description":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57250","description":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57250","description":"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open closure of major bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32815","description":"Open closure of major bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Major reconstruction, chest wall (posttraumatic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32820","description":"Major reconstruction, chest wall (posttraumatic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57260","description":"Combined anteroposterior colporrhaphy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57260","description":"Combined anteroposterior colporrhaphy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57260","description":"Combined anteroposterior colporrhaphy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57260","description":"Combined anteroposterior colporrhaphy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57265","description":"Combined anteroposterior colporrhaphy; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57265","description":"Combined anteroposterior colporrhaphy; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57265","description":"Combined anteroposterior colporrhaphy; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57265","description":"Combined anteroposterior colporrhaphy; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32851","description":"Lung transplant, single; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57267","description":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57267","description":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57267","description":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57267","description":"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Vaginal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57268","description":"Repair, Enterocele, Vaginal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Vaginal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57268","description":"Repair, Enterocele, Vaginal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Vaginal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57268","description":"Repair, Enterocele, Vaginal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Vaginal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57268","description":"Repair, Enterocele, Vaginal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32853","description":"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Abdominal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57270","description":"Repair, Enterocele, Abdominal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Abdominal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57270","description":"Repair, Enterocele, Abdominal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Abdominal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57270","description":"Repair, Enterocele, Abdominal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Enterocele, Abdominal Approach (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57270","description":"Repair, Enterocele, Abdominal Approach (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32854","description":"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57280","description":"Colpopexy, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57280","description":"Colpopexy, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57280","description":"Colpopexy, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57280","description":"Colpopexy, abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32855","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sacrospinous Ligament Fixation, Prolapse, Vagina","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57282","description":"Sacrospinous Ligament Fixation, Prolapse, Vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sacrospinous Ligament Fixation, Prolapse, Vagina","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57282","description":"Sacrospinous Ligament Fixation, Prolapse, Vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sacrospinous Ligament Fixation, Prolapse, Vagina","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57282","description":"Sacrospinous Ligament Fixation, Prolapse, Vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sacrospinous Ligament Fixation, Prolapse, Vagina","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57282","description":"Sacrospinous Ligament Fixation, Prolapse, Vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57283","description":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57283","description":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57283","description":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57283","description":"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32856","description":"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ribs, Extrapleural, All Stages","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32900","description":"Resection, Ribs, Extrapleural, All Stages","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32905","description":"Thoracoplasty, Schede type or extrapleural (all stages);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57284","description":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57284","description":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57284","description":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57284","description":"Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolaps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57285","description":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57285","description":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57285","description":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57285","description":"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32906","description":"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/Revision, Sling, Stress Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57287","description":"Removal/Revision, Sling, Stress Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/Revision, Sling, Stress Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57287","description":"Removal/Revision, Sling, Stress Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/Revision, Sling, Stress Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57287","description":"Removal/Revision, Sling, Stress Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal/Revision, Sling, Stress Incontinence","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57287","description":"Removal/Revision, Sling, Stress Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonolysis, extraperiosteal, including filling or packing procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32940","description":"Pneumonolysis, extraperiosteal, including filling or packing procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonolysis, extraperiosteal, including filling or packing procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32940","description":"Pneumonolysis, extraperiosteal, including filling or packing procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonolysis, extraperiosteal, including filling or packing procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32940","description":"Pneumonolysis, extraperiosteal, including filling or packing procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pneumonolysis, extraperiosteal, including filling or packing procedures","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32940","description":"Pneumonolysis, extraperiosteal, including filling or packing procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57288","description":"Sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57288","description":"Sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57288","description":"Sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Sling operation for stress incontinence (eg, fascia or synthetic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57288","description":"Sling operation for stress incontinence (eg, fascia or synthetic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pereyra procedure, including anterior colporrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57289","description":"Pereyra procedure, including anterior colporrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pereyra procedure, including anterior colporrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57289","description":"Pereyra procedure, including anterior colporrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total lung lavage (unilateral)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32997","description":"Total lung lavage (unilateral)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pereyra procedure, including anterior colporrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57289","description":"Pereyra procedure, including anterior colporrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pereyra procedure, including anterior colporrhaphy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57289","description":"Pereyra procedure, including anterior colporrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57291","description":"Construction, Artificial Vagina; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57291","description":"Construction, Artificial Vagina; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57291","description":"Construction, Artificial Vagina; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57291","description":"Construction, Artificial Vagina; W/O Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33020","description":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33020","description":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33020","description":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Carpectomy; all bones of proximal row","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25215","description":"Carpectomy; all bones of proximal row","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with thoracic sympathectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32664","description":"Thoracoscopy, surgical; with thoracic sympathectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant, single; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32852","description":"Lung transplant, single; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, radius; middle or proximal third","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"25355","description":"Osteotomy, radius; middle or proximal third","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"PERQ RF ABLATE TX, PUL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32998","description":"PERQ RF ABLATE TX, PUL TUMOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"PERQ RF ABLATE TX, PUL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32998","description":"PERQ RF ABLATE TX, PUL TUMOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"PERQ RF ABLATE TX, PUL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32998","description":"PERQ RF ABLATE TX, PUL TUMOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"PERQ RF ABLATE TX, PUL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32998","description":"PERQ RF ABLATE TX, PUL TUMOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57292","description":"Construction, Artificial Vagina; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57292","description":"Construction, Artificial Vagina; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57292","description":"Construction, Artificial Vagina; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Artificial Vagina; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57292","description":"Construction, Artificial Vagina; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Pericardial Window/Partial Resection, Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33025","description":"Creation, Pericardial Window/Partial Resection, Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Pericardial Window/Partial Resection, Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33025","description":"Creation, Pericardial Window/Partial Resection, Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Pericardial Window/Partial Resection, Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33025","description":"Creation, Pericardial Window/Partial Resection, Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Creation, Pericardial Window/Partial Resection, Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33025","description":"Creation, Pericardial Window/Partial Resection, Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57295","description":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57295","description":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57295","description":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57295","description":"Revision (including removal) of prosthetic vaginal graft, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57296","description":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57296","description":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57296","description":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57296","description":"Revision (including removal) of prosthetic vaginal graft; open abdominal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33030","description":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33030","description":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33030","description":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33030","description":"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55812","description":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55812","description":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55812","description":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"55812","description":"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33031","description":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33031","description":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33031","description":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33031","description":"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57300","description":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57300","description":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57300","description":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57300","description":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57305","description":"Closure, Rectovaginal Fistula; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57305","description":"Closure, Rectovaginal Fistula; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57305","description":"Closure, Rectovaginal Fistula; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57305","description":"Closure, Rectovaginal Fistula; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Pericardial Cyst/Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33050","description":"Excision, Pericardial Cyst/Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Pericardial Cyst/Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33050","description":"Excision, Pericardial Cyst/Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Pericardial Cyst/Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33050","description":"Excision, Pericardial Cyst/Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Pericardial Cyst/Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33050","description":"Excision, Pericardial Cyst/Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33120","description":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33120","description":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33120","description":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33120","description":"Excision, Intracardiac Tumor, Resection W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57307","description":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57307","description":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57307","description":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57307","description":"Closure, Rectovaginal Fistula; Abdominal Approach, W/Concomitant Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57308","description":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57308","description":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57308","description":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57308","description":"Closure, Rectovaginal Fistula; Transperineal Approach, W/Reconstruction, W/Wo Levator Plication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ext Cardiac Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33130","description":"Resection, Ext Cardiac Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ext Cardiac Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33130","description":"Resection, Ext Cardiac Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ext Cardiac Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33130","description":"Resection, Ext Cardiac Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ext Cardiac Tumor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33130","description":"Resection, Ext Cardiac Tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33140","description":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33140","description":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33140","description":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33140","description":"Transmyocardial laser revascularization, by thoracotomy; (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57310","description":"Closure, Urethrovaginal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57310","description":"Closure, Urethrovaginal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57310","description":"Closure, Urethrovaginal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57310","description":"Closure, Urethrovaginal Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32672","description":"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reducti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33141","description":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33141","description":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33141","description":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33141","description":"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57311","description":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57311","description":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57311","description":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57311","description":"Closure, Urethrovaginal Fistula; W/Bulbocavernosus Transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33243","description":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33243","description":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33243","description":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33243","description":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57320","description":"Closure, Vesicovaginal Fistula; Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57320","description":"Closure, Vesicovaginal Fistula; Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57320","description":"Closure, Vesicovaginal Fistula; Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57320","description":"Closure, Vesicovaginal Fistula; Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57330","description":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57330","description":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57330","description":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57330","description":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33250","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33250","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33250","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33250","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33251","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33251","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33251","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33251","description":"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginoplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57335","description":"Vaginoplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginoplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57335","description":"Vaginoplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginoplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57335","description":"Vaginoplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginoplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57335","description":"Vaginoplasty, Intersex State","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33254","description":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33254","description":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33254","description":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32503","description":"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33254","description":"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57423","description":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57423","description":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57423","description":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57423","description":"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33255","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33255","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33255","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33255","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57425","description":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57425","description":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57425","description":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57425","description":"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57426","description":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57426","description":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57426","description":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57426","description":"\"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33256","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33256","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33256","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33256","description":"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33257","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33257","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33257","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33257","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57530","description":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57530","description":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57530","description":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57530","description":"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33258","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33258","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33258","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33258","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57531","description":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57531","description":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57531","description":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57531","description":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33259","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33259","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33259","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33259","description":"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57540","description":"Excision, Cervical Stump, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57540","description":"Excision, Cervical Stump, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57540","description":"Excision, Cervical Stump, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57540","description":"Excision, Cervical Stump, Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33261","description":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33261","description":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33261","description":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33261","description":"Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57545","description":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57545","description":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57545","description":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57545","description":"Excision, Cervical Stump, Abdominal Approach; W/Pelvic Floor Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33265","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33265","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33265","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33265","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57550","description":"Excision, Cervical Stump, Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57550","description":"Excision, Cervical Stump, Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57550","description":"Excision, Cervical Stump, Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57550","description":"Excision, Cervical Stump, Vaginal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33266","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33266","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33266","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33266","description":"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without card","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57555","description":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57555","description":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57555","description":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57555","description":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57556","description":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57556","description":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57556","description":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57556","description":"Excision, Cervical Stump, Vaginal Approach; W/Repair, Enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33267","description":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33267","description":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33267","description":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33267","description":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33268","description":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33268","description":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33268","description":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33268","description":"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57720","description":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57720","description":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57720","description":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"57720","description":"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33269","description":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33269","description":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33269","description":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33269","description":"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58140","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58140","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58140","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58140","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/O Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33300","description":"Repair, Cardiac Wound; W/O Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/O Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33300","description":"Repair, Cardiac Wound; W/O Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/O Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33300","description":"Repair, Cardiac Wound; W/O Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/O Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33300","description":"Repair, Cardiac Wound; W/O Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58145","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58145","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58145","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58145","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33305","description":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33305","description":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33305","description":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33305","description":"Repair, Cardiac Wound; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"PERQ RF ABLATE TX, PUL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"32998","description":"PERQ RF ABLATE TX, PUL TUMOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58146","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58146","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58146","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58146","description":"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33310","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33310","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33310","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33310","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58150","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58150","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58150","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58150","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33315","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33315","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33315","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33315","description":"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58152","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58152","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58152","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58152","description":"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33320","description":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33320","description":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33320","description":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33320","description":"Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58180","description":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58180","description":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58180","description":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58180","description":"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without remova","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58200","description":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58200","description":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58200","description":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58200","description":"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with shunt bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33321","description":"Suture repair of aorta or great vessels; with shunt bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with shunt bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33321","description":"Suture repair of aorta or great vessels; with shunt bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with shunt bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33321","description":"Suture repair of aorta or great vessels; with shunt bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with shunt bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33321","description":"Suture repair of aorta or great vessels; with shunt bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33322","description":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33322","description":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33322","description":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33322","description":"Suture repair of aorta or great vessels; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58210","description":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58210","description":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58210","description":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58210","description":"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33330","description":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33330","description":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33330","description":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33330","description":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58240","description":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58240","description":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58240","description":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58240","description":"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58260","description":"Vaginal hysterectomy, for uterus 250 grams or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58260","description":"Vaginal hysterectomy, for uterus 250 grams or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58260","description":"Vaginal hysterectomy, for uterus 250 grams or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58260","description":"Vaginal hysterectomy, for uterus 250 grams or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33335","description":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33335","description":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33335","description":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33335","description":"Insertion, Graft, Aorta/Great Vessels; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58262","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58262","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58262","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58262","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33390","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33390","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33390","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33390","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33391","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33391","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33391","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33391","description":"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58263","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58263","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58263","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58263","description":"Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58267","description":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58267","description":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58267","description":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58267","description":"Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Apical-Aortic Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33404","description":"Construction, Apical-Aortic Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Apical-Aortic Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33404","description":"Construction, Apical-Aortic Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Apical-Aortic Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33404","description":"Construction, Apical-Aortic Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Construction, Apical-Aortic Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33404","description":"Construction, Apical-Aortic Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58270","description":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58270","description":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58270","description":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58270","description":"Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33405","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33405","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33405","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33405","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58275","description":"Vaginal hysterectomy, with total or partial vaginectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33020","description":"Pericardiotomy, Removal, Clot/Fb (Primary Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58275","description":"Vaginal hysterectomy, with total or partial vaginectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58275","description":"Vaginal hysterectomy, with total or partial vaginectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33406","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33406","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33406","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33406","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33410","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33410","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33410","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33410","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58280","description":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58280","description":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58280","description":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58280","description":"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33411","description":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33411","description":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33411","description":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33411","description":"Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, radical (Schauta type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58285","description":"Vaginal hysterectomy, radical (Schauta type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, radical (Schauta type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58285","description":"Vaginal hysterectomy, radical (Schauta type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, radical (Schauta type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58285","description":"Vaginal hysterectomy, radical (Schauta type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, radical (Schauta type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58285","description":"Vaginal hysterectomy, radical (Schauta type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58290","description":"Vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58290","description":"Vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58290","description":"Vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58290","description":"Vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33412","description":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33412","description":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33412","description":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33412","description":"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58291","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58291","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58291","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58291","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33413","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33413","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33413","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33413","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58292","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58292","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58292","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58292","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enteroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33414","description":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33414","description":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33414","description":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33414","description":"Repair, Left Ventricular Outflow Tract Obstruction, Patch Enlargement, Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58294","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58294","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58294","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58294","description":"Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33415","description":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33415","description":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33415","description":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33415","description":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58345","description":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58345","description":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58345","description":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58345","description":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Chromotubation, Oviduct, W/Matls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58350","description":"Chromotubation, Oviduct, W/Matls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58345","description":"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33416","description":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33416","description":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33416","description":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33416","description":"Ventriculomyotomy/Myectomy, Idiopathic Hypertrophic Subaortic Stenosis (Ihss)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortoplasty (gusset) for supravalvular stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33417","description":"Aortoplasty (gusset) for supravalvular stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortoplasty (gusset) for supravalvular stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33417","description":"Aortoplasty (gusset) for supravalvular stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortoplasty (gusset) for supravalvular stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33417","description":"Aortoplasty (gusset) for supravalvular stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortoplasty (gusset) for supravalvular stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33417","description":"Aortoplasty (gusset) for supravalvular stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58356","description":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58356","description":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58356","description":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58356","description":"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33418","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33418","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33418","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33418","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58400","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58400","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58400","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58400","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33419","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33419","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33419","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33419","description":"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58410","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58410","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58410","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58410","description":"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33422","description":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33422","description":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33422","description":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33422","description":"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58520","description":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58520","description":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58520","description":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58520","description":"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33425","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33425","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33425","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33425","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroplasty, repair of uterine anomaly (Strassman type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58540","description":"Hysteroplasty, repair of uterine anomaly (Strassman type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroplasty, repair of uterine anomaly (Strassman type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58540","description":"Hysteroplasty, repair of uterine anomaly (Strassman type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroplasty, repair of uterine anomaly (Strassman type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58540","description":"Hysteroplasty, repair of uterine anomaly (Strassman type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroplasty, repair of uterine anomaly (Strassman type)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58540","description":"Hysteroplasty, repair of uterine anomaly (Strassman type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33426","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33426","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33426","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33426","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58541","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58541","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58541","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58541","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58542","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58542","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58542","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58542","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33427","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33427","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33427","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33427","description":"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58543","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58543","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58543","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58543","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, mitral valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33430","description":"Replacement, mitral valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, mitral valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33430","description":"Replacement, mitral valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, mitral valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33430","description":"Replacement, mitral valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, mitral valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33430","description":"Replacement, mitral valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33440","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33440","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33440","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33440","description":"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58544","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58544","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58544","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58544","description":"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33460","description":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33460","description":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33460","description":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33460","description":"Valvectomy, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58545","description":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58545","description":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58545","description":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58545","description":"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; without ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33463","description":"Valvuloplasty, tricuspid valve; without ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; without ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33463","description":"Valvuloplasty, tricuspid valve; without ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; without ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33463","description":"Valvuloplasty, tricuspid valve; without ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; without ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33463","description":"Valvuloplasty, tricuspid valve; without ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58546","description":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58546","description":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58546","description":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58546","description":"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight grea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; with ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33464","description":"Valvuloplasty, tricuspid valve; with ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; with ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33464","description":"Valvuloplasty, tricuspid valve; with ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; with ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33464","description":"Valvuloplasty, tricuspid valve; with ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, tricuspid valve; with ring insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33464","description":"Valvuloplasty, tricuspid valve; with ring insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58548","description":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58548","description":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58548","description":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58548","description":"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33465","description":"Replacement, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33465","description":"Replacement, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33465","description":"Replacement, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, tricuspid valve, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33465","description":"Replacement, tricuspid valve, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58550","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58550","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58550","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58550","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58552","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58552","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58552","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58552","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tricuspid valve repositioning and plication for Ebstein anomaly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33468","description":"Tricuspid valve repositioning and plication for Ebstein anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tricuspid valve repositioning and plication for Ebstein anomaly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33468","description":"Tricuspid valve repositioning and plication for Ebstein anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tricuspid valve repositioning and plication for Ebstein anomaly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33468","description":"Tricuspid valve repositioning and plication for Ebstein anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tricuspid valve repositioning and plication for Ebstein anomaly","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33468","description":"Tricuspid valve repositioning and plication for Ebstein anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58553","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58553","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58553","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58553","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy, with total or partial vaginectomy;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58275","description":"Vaginal hysterectomy, with total or partial vaginectomy;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33471","description":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33471","description":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33471","description":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33471","description":"Valvotomy, pulmonary valve, closed heart, via pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33474","description":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33474","description":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33474","description":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33474","description":"Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58554","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58554","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58554","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58554","description":"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33475","description":"Replacement, pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33475","description":"Replacement, pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33475","description":"Replacement, pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33475","description":"Replacement, pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58560","description":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58560","description":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58560","description":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58560","description":"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33476","description":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33476","description":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33476","description":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33476","description":"Right ventricular resection for infundibular stenosis, with or without commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58570","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58570","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58570","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58570","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58571","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58571","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58571","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58571","description":"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33478","description":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33478","description":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33478","description":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33478","description":"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58572","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58572","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58572","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58572","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33496","description":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33496","description":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33496","description":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33496","description":"Repair, Prosthetic Valve Dysfunction W/Cardiopulmonary Bypass (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33500","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33500","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33500","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33500","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58573","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58573","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58573","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58573","description":"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58575","description":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58575","description":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58575","description":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58575","description":"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33501","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33501","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33501","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33501","description":"Repair, Coronary Av/Arteriocardiac Chamber Fistula; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33502","description":"Repair, Anomalous Coronary Artery; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33502","description":"Repair, Anomalous Coronary Artery; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33502","description":"Repair, Anomalous Coronary Artery; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33502","description":"Repair, Anomalous Coronary Artery; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33504","description":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33504","description":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33504","description":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33504","description":"Repair, Anomalous Coronary Artery; Graft, W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33505","description":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33505","description":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33505","description":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33505","description":"Repair, Anomalous Coronary Artery; W/Construction, Intrapulmonary Artery Tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58600","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58600","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58600","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58600","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Unilat/Bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58605","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58605","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58605","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58605","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33506","description":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33506","description":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33506","description":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33506","description":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33507","description":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33507","description":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33507","description":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33507","description":"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58611","description":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58611","description":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58611","description":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58611","description":"Ligation/Transection, Fallopian Tube W/C-Section/Surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58615","description":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58615","description":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58615","description":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58615","description":"Occlusion, Fallopian Tube By Device, Vaginal/Suprapubic Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33508","description":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33508","description":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33508","description":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33508","description":"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33509","description":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33509","description":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33509","description":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33509","description":"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58660","description":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58660","description":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58660","description":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58660","description":"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; single coronary venous graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33510","description":"Coronary artery bypass, vein only; single coronary venous graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; single coronary venous graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33510","description":"Coronary artery bypass, vein only; single coronary venous graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; single coronary venous graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33510","description":"Coronary artery bypass, vein only; single coronary venous graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; single coronary venous graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33510","description":"Coronary artery bypass, vein only; single coronary venous graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58661","description":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58661","description":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58661","description":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58661","description":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58661","description":"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; two coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33511","description":"Coronary artery bypass, vein only; two coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; two coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33511","description":"Coronary artery bypass, vein only; two coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; two coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33511","description":"Coronary artery bypass, vein only; two coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; two coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33511","description":"Coronary artery bypass, vein only; two coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; three coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33512","description":"Coronary artery bypass, vein only; three coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; three coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33512","description":"Coronary artery bypass, vein only; three coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; three coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33512","description":"Coronary artery bypass, vein only; three coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; three coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33512","description":"Coronary artery bypass, vein only; three coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58662","description":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58662","description":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58662","description":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58662","description":"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58672","description":"Laparoscopy, surgical; with fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58672","description":"Laparoscopy, surgical; with fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58672","description":"Laparoscopy, surgical; with fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58672","description":"Laparoscopy, surgical; with fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58672","description":"Laparoscopy, surgical; with fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; four coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33513","description":"Coronary artery bypass, vein only; four coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; four coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33513","description":"Coronary artery bypass, vein only; four coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; four coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33513","description":"Coronary artery bypass, vein only; four coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; four coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33513","description":"Coronary artery bypass, vein only; four coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58673","description":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58673","description":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58673","description":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58673","description":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58673","description":"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; five coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33514","description":"Coronary artery bypass, vein only; five coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; five coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33514","description":"Coronary artery bypass, vein only; five coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; five coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33514","description":"Coronary artery bypass, vein only; five coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; five coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33514","description":"Coronary artery bypass, vein only; five coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; six or more coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33516","description":"Coronary artery bypass, vein only; six or more coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; six or more coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33516","description":"Coronary artery bypass, vein only; six or more coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; six or more coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33516","description":"Coronary artery bypass, vein only; six or more coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, vein only; six or more coronary venous grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33516","description":"Coronary artery bypass, vein only; six or more coronary venous grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps abltj uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58674","description":"Laps abltj uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps abltj uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58674","description":"Laps abltj uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps abltj uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58674","description":"Laps abltj uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Laps abltj uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58674","description":"Laps abltj uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33517","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33517","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33517","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33517","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58700","description":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58700","description":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58700","description":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58700","description":"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58720","description":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58720","description":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58720","description":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58720","description":"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33518","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33518","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33518","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33518","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33519","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33519","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33519","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33519","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33521","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33521","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33521","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33521","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58740","description":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58740","description":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58740","description":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58740","description":"Lysis, Adhesions (Salpingolysis, Ovariolysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubotubal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58750","description":"Tubotubal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubotubal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58750","description":"Tubotubal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubotubal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58750","description":"Tubotubal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubotubal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58750","description":"Tubotubal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubotubal anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58750","description":"Tubotubal anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33522","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33522","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33522","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33522","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); five venous grafts (list separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33523","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33523","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33523","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33523","description":"Coronary artery bypass, using venous graft(s) and arterial graft(s); six or more venous grafts (list separately in addit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubouterine implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58752","description":"Tubouterine implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubouterine implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58752","description":"Tubouterine implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubouterine implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58752","description":"Tubouterine implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubouterine implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58752","description":"Tubouterine implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Tubouterine implantation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58752","description":"Tubouterine implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33530","description":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33530","description":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33530","description":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33530","description":"Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation (list sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); single arterial graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33533","description":"Coronary artery bypass, using arterial graft(s); single arterial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); single arterial graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33533","description":"Coronary artery bypass, using arterial graft(s); single arterial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); single arterial graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33533","description":"Coronary artery bypass, using arterial graft(s); single arterial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); single arterial graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33533","description":"Coronary artery bypass, using arterial graft(s); single arterial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58770","description":"Salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58770","description":"Salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58770","description":"Salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58770","description":"Salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Salpingostomy (salpingoneostomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58770","description":"Salpingostomy (salpingoneostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58805","description":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58805","description":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58805","description":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58805","description":"Drainage, Ovarian Cyst(S), Unilat/Bilat, (Sep Proc); Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33534","description":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33534","description":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33534","description":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33534","description":"Coronary artery bypass, using arterial graft(s); two coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33535","description":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33535","description":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33535","description":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33535","description":"Coronary artery bypass, using arterial graft(s); three coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33536","description":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33536","description":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33536","description":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33536","description":"Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58822","description":"Drainage, Ovarian Abscess; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58822","description":"Drainage, Ovarian Abscess; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58822","description":"Drainage, Ovarian Abscess; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58822","description":"Drainage, Ovarian Abscess; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58822","description":"Drainage, Ovarian Abscess; Abdominal Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial resection (eg, ventricular aneurysmectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33542","description":"Myocardial resection (eg, ventricular aneurysmectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial resection (eg, ventricular aneurysmectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33542","description":"Myocardial resection (eg, ventricular aneurysmectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial resection (eg, ventricular aneurysmectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33542","description":"Myocardial resection (eg, ventricular aneurysmectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial resection (eg, ventricular aneurysmectomy)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33542","description":"Myocardial resection (eg, ventricular aneurysmectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition, ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58825","description":"Transposition, ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition, ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58825","description":"Transposition, ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition, ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58825","description":"Transposition, ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transposition, ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58825","description":"Transposition, ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33545","description":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33545","description":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33545","description":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33545","description":"Repair, Postinfarction Ventricular Septal Defect, W/Wo Myocardial Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Ovary, Unilat/Bilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58900","description":"Bx, Ovary, Unilat/Bilat (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Ovary, Unilat/Bilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58900","description":"Bx, Ovary, Unilat/Bilat (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Ovary, Unilat/Bilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58900","description":"Bx, Ovary, Unilat/Bilat (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bx, Ovary, Unilat/Bilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58900","description":"Bx, Ovary, Unilat/Bilat (Sep Proc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33548","description":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33548","description":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33548","description":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33548","description":"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33572","description":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33572","description":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33572","description":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resection or bisection of ovary, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58920","description":"Wedge resection or bisection of ovary, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33572","description":"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resection or bisection of ovary, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58920","description":"Wedge resection or bisection of ovary, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resection or bisection of ovary, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58920","description":"Wedge resection or bisection of ovary, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resection or bisection of ovary, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58920","description":"Wedge resection or bisection of ovary, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ovarian cystectomy, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58925","description":"Ovarian cystectomy, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ovarian cystectomy, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58925","description":"Ovarian cystectomy, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ovarian cystectomy, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58925","description":"Ovarian cystectomy, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ovarian cystectomy, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58925","description":"Ovarian cystectomy, unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33600","description":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33600","description":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33600","description":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33600","description":"Closure, Atrioventricular Valve (Mitral/Tricuspid), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58940","description":"Oophorectomy, partial or total, unilateral or bilateral;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58940","description":"Oophorectomy, partial or total, unilateral or bilateral;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58940","description":"Oophorectomy, partial or total, unilateral or bilateral;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58940","description":"Oophorectomy, partial or total, unilateral or bilateral;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58943","description":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58943","description":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58943","description":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58943","description":"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33602","description":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33602","description":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33602","description":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33602","description":"Closure, Semilunar Valve (Aortic/Pulmonary), Suture/Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58950","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58950","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58950","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58950","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33606","description":"Anastomosis, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33606","description":"Anastomosis, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33606","description":"Anastomosis, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33606","description":"Anastomosis, Pulmonary Artery To Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33610","description":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33610","description":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33610","description":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33610","description":"Repair, Complex Cardiac Anomalies, Surg Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58951","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58951","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58951","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58951","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectomy; W/Abd Hysterectomy & Lymphadenect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33611","description":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33611","description":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33611","description":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33611","description":"Repair, Double Outlet Right Ventricle W/Intraventricular Tunnel Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58953","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58953","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58953","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58953","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33612","description":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33612","description":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33612","description":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33612","description":"Repair, Double Outlet Right Ventricle W/Intravent Tunnel Rep; W/Repair Right Ventricle Outflow Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58954","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58954","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58954","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58954","description":"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33615","description":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33615","description":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33615","description":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33615","description":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33617","description":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33617","description":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33617","description":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33617","description":"Repair, Complex Cardiac Anomalies, Modified Fontan Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58956","description":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58956","description":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58956","description":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58956","description":"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58957","description":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58957","description":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58957","description":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58957","description":"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retrop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33619","description":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33619","description":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33619","description":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33619","description":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33620","description":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33620","description":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33620","description":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33620","description":"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33621","description":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33621","description":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33621","description":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33621","description":"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33622","description":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33622","description":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33622","description":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33622","description":"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33641","description":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33641","description":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33641","description":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33641","description":"Repair, Atrial Septal Defect, Secundum, W/Cardiopulmonary Bypass, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33645","description":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33645","description":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33645","description":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33645","description":"Direct/Patch Closure, Sinus Venosus, W/Wo Anomalous Pulmonary Venous Drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33647","description":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33647","description":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33647","description":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33647","description":"Repair, Atrial Septal Defect & Ventricular Septal Defect, W/Direct/Patch Closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33660","description":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33660","description":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33660","description":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33660","description":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33665","description":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33665","description":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33665","description":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33665","description":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33670","description":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33670","description":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33670","description":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33670","description":"Repair, Complete Atrioventricular Canal, W/Wo Prosthetic Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33675","description":"Closure of multiple ventricular septal defects;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33675","description":"Closure of multiple ventricular septal defects;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33675","description":"Closure of multiple ventricular septal defects;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33675","description":"Closure of multiple ventricular septal defects;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33676","description":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33676","description":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33676","description":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33676","description":"Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33677","description":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33677","description":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33677","description":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33677","description":"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33681","description":"Closure, Ventricular Septal Defect, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33681","description":"Closure, Ventricular Septal Defect, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33681","description":"Closure, Ventricular Septal Defect, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33681","description":"Closure, Ventricular Septal Defect, W/Wo Patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33684","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33684","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33684","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33684","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Pulmonary Valvotomy/Infundibular Resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33688","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33688","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33688","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33688","description":"Closure, Ventricular Septal Defect, W/Wo Patch; W/Removal, Pulmonary Artery Band, W/Wo Gusset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Banding, Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33690","description":"Banding, Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Banding, Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33690","description":"Banding, Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Banding, Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33690","description":"Banding, Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Banding, Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33690","description":"Banding, Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33692","description":"Complete repair tetralogy of Fallot without pulmonary atresia;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33692","description":"Complete repair tetralogy of Fallot without pulmonary atresia;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33692","description":"Complete repair tetralogy of Fallot without pulmonary atresia;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33692","description":"Complete repair tetralogy of Fallot without pulmonary atresia;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33694","description":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33694","description":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33694","description":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33694","description":"Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33697","description":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33697","description":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33697","description":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33697","description":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33702","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33702","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33702","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33702","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33710","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33710","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33710","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33710","description":"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33720","description":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33720","description":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33720","description":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33720","description":"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33724","description":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33724","description":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33724","description":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33724","description":"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33726","description":"Repair of pulmonary venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33726","description":"Repair of pulmonary venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33726","description":"Repair of pulmonary venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33726","description":"Repair of pulmonary venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33730","description":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33730","description":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33730","description":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33730","description":"Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33732","description":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33732","description":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33732","description":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33732","description":"Repair, Cor Triatriatum/Supravalvular Mitral Ring, Resection, Left Atrial Membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33735","description":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33735","description":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33735","description":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33735","description":"Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33736","description":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33736","description":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33736","description":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33736","description":"Atrial septectomy or septostomy; open heart with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart, with inflow occlusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33737","description":"Atrial septectomy or septostomy; open heart, with inflow occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart, with inflow occlusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33737","description":"Atrial septectomy or septostomy; open heart, with inflow occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart, with inflow occlusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33737","description":"Atrial septectomy or septostomy; open heart, with inflow occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Atrial septectomy or septostomy; open heart, with inflow occlusion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33737","description":"Atrial septectomy or septostomy; open heart, with inflow occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33741","description":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33741","description":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33741","description":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33741","description":"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33745","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33745","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33745","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33745","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33746","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33746","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33746","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33746","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33750","description":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33750","description":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33750","description":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33750","description":"Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33755","description":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33755","description":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33755","description":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33755","description":"Shunt; ascending aorta to pulmonary artery (Waterston type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33762","description":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33762","description":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33762","description":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33762","description":"Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; central, with prosthetic graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33764","description":"Shunt; central, with prosthetic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; central, with prosthetic graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33764","description":"Shunt; central, with prosthetic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; central, with prosthetic graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33764","description":"Shunt; central, with prosthetic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; central, with prosthetic graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33764","description":"Shunt; central, with prosthetic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33766","description":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33766","description":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33766","description":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33766","description":"Shunt; superior vena cava to pulmonary artery for flow to one lung (classical Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33767","description":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33767","description":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33767","description":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33767","description":"Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33768","description":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33768","description":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33768","description":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33768","description":"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33770","description":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33770","description":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33770","description":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33770","description":"Repair, Transposition Great Arteries; W/O Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33771","description":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33771","description":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33771","description":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33771","description":"Repair, Transposition Great Arteries; W/Surgical Enlargement, Ventricular Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33774","description":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33774","description":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33774","description":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33774","description":"Repair, Transposition Great Arteries, Atrial Baffle, W/Cardiopulmonary Bypass;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33775","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33775","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33775","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33775","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulmonary Bypass; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33776","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33776","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33776","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33776","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Closure Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33778","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33778","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33778","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33778","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33777","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33777","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33777","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33777","description":"Repair, Transposition Great Arteries, Atrial Baffle W/Cardiopulm Bypass; Repair Subpulmonic Obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33779","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33779","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33779","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33779","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Remove Pulmonary Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33780","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33780","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33780","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33780","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Closure, Vent Septal Defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33781","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33781","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33781","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33781","description":"Repair, Transposition Great Arteries, Aortopulmonary Reconstruct; Repair Subpulmonic Obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel W Baffle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33782","description":"Rep Transposit Grt Vessel W Baffle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel W Baffle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33782","description":"Rep Transposit Grt Vessel W Baffle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel W Baffle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33782","description":"Rep Transposit Grt Vessel W Baffle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel W Baffle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33782","description":"Rep Transposit Grt Vessel W Baffle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel+rem Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33783","description":"Rep Transposit Grt Vessel+rem Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel+rem Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33783","description":"Rep Transposit Grt Vessel+rem Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel+rem Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33783","description":"Rep Transposit Grt Vessel+rem Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel+rem Band","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33783","description":"Rep Transposit Grt Vessel+rem Band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total repair, truncus arteriosus (Rastelli type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33786","description":"Total repair, truncus arteriosus (Rastelli type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total repair, truncus arteriosus (Rastelli type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33786","description":"Total repair, truncus arteriosus (Rastelli type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total repair, truncus arteriosus (Rastelli type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33786","description":"Total repair, truncus arteriosus (Rastelli type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Total repair, truncus arteriosus (Rastelli type operation)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33786","description":"Total repair, truncus arteriosus (Rastelli type operation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, Anomalous Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33788","description":"Reimplantation, Anomalous Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, Anomalous Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33788","description":"Reimplantation, Anomalous Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, Anomalous Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33788","description":"Reimplantation, Anomalous Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation, Anomalous Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33788","description":"Reimplantation, Anomalous Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33800","description":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33800","description":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33800","description":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33800","description":"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33802","description":"Division, Aberrant Vessel (Vascular Ring);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33802","description":"Division, Aberrant Vessel (Vascular Ring);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33802","description":"Division, Aberrant Vessel (Vascular Ring);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33802","description":"Division, Aberrant Vessel (Vascular Ring);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33803","description":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33803","description":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33803","description":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33803","description":"Division, Aberrant Vessel (Vascular Ring); W/Reanastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33813","description":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33813","description":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33813","description":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33813","description":"Obliteration, Aortopulmonary Septal Defect; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33814","description":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33814","description":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33814","description":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33814","description":"Obliteration, Aortopulmonary Septal Defect; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33820","description":"Repair, Patent Ductus Arteriosus; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33820","description":"Repair, Patent Ductus Arteriosus; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33820","description":"Repair, Patent Ductus Arteriosus; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Ligation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33820","description":"Repair, Patent Ductus Arteriosus; Ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, < Age 18","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33822","description":"Repair, Patent Ductus Arteriosus; Division, < Age 18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, < Age 18","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33822","description":"Repair, Patent Ductus Arteriosus; Division, < Age 18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, < Age 18","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33822","description":"Repair, Patent Ductus Arteriosus; Division, < Age 18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, < Age 18","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33822","description":"Repair, Patent Ductus Arteriosus; Division, < Age 18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, Age 18+","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33824","description":"Repair, Patent Ductus Arteriosus; Division, Age 18+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, Age 18+","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33824","description":"Repair, Patent Ductus Arteriosus; Division, Age 18+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, Age 18+","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33824","description":"Repair, Patent Ductus Arteriosus; Division, Age 18+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Patent Ductus Arteriosus; Division, Age 18+","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33824","description":"Repair, Patent Ductus Arteriosus; Division, Age 18+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33840","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33840","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33840","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33840","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Direct Anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33845","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33845","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33845","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33845","description":"Excision, Coarctation, Aorta W/Wo Patent Ductus Arteriosus; W/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33851","description":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33851","description":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33851","description":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33851","description":"Excision, Coarctation, Aorta; Repair W/ Left Subclavian Artery/Prosthetic Matl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33852","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33852","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33852","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33852","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/O Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33853","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33853","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33853","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33853","description":"Repair, Hypoplastic Aortic Arch W/Autogenous/Prosthetic Matl; W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33858","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33858","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33858","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33858","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33859","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33859","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33859","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33859","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33863","description":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33863","description":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33863","description":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33863","description":"Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33864","description":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33864","description":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33864","description":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33864","description":"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33871","description":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33871","description":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33871","description":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33871","description":"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Descending thoracic aorta graft, with or without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33875","description":"Descending thoracic aorta graft, with or without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Descending thoracic aorta graft, with or without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33875","description":"Descending thoracic aorta graft, with or without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Descending thoracic aorta graft, with or without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33875","description":"Descending thoracic aorta graft, with or without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Descending thoracic aorta graft, with or without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33875","description":"Descending thoracic aorta graft, with or without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33877","description":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33877","description":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33877","description":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33877","description":"Repair, Thoracoabdominal Aortic Aneurysm W/Graft, W/Wo Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33880","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33880","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33880","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33880","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33881","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33881","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33881","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33881","description":"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33883","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33883","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33883","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33883","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33884","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33884","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33884","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33884","description":"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33886","description":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33886","description":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33886","description":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33886","description":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33889","description":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33889","description":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33889","description":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33889","description":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33889","description":"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33891","description":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33891","description":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33891","description":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33891","description":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33891","description":"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33910","description":"Pulmonary artery embolectomy; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33910","description":"Pulmonary artery embolectomy; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33910","description":"Pulmonary artery embolectomy; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33910","description":"Pulmonary artery embolectomy; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33915","description":"Pulmonary artery embolectomy; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33915","description":"Pulmonary artery embolectomy; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33915","description":"Pulmonary artery embolectomy; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary artery embolectomy; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33915","description":"Pulmonary artery embolectomy; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33916","description":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33916","description":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33916","description":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33916","description":"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33917","description":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33917","description":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33917","description":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33917","description":"Repair, Pulmonary Artery Stenosis, Reconstruction W/Patch/Graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33920","description":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33920","description":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33920","description":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33920","description":"Repair, Pulmonary Atresia, W/Construct/Replace Conduit, Ventricle-Pulmonary Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33922","description":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33922","description":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33922","description":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33922","description":"Transection, Pulmonary Artery W/Cardiopulmonary Bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33924","description":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33924","description":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33924","description":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33924","description":"Ligation/Takedown, Systemic-To-Pulmonary Artery Shunt, W/Congenital Heart Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33925","description":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33925","description":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33925","description":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33925","description":"Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33926","description":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33926","description":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33926","description":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33926","description":"Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33933","description":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33933","description":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33933","description":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33933","description":"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33935","description":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33935","description":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33935","description":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33935","description":"Heart-lung transplant with recipient cardiectomy-pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33944","description":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33944","description":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33944","description":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33944","description":"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allogr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart transplant, with or without recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33945","description":"Heart transplant, with or without recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart transplant, with or without recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33945","description":"Heart transplant, with or without recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart transplant, with or without recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33945","description":"Heart transplant, with or without recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Heart transplant, with or without recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33945","description":"Heart transplant, with or without recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33970","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33970","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33970","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33970","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33973","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33973","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33973","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33608","description":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33973","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Ascending Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33975","description":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33975","description":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33975","description":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33975","description":"Insertion, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33976","description":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33976","description":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33976","description":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33976","description":"Insertion, Ventricular Assist Device; Extracorporeal, Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33977","description":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33977","description":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33977","description":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33977","description":"Removal, Ventricular Assist Device; Extracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33978","description":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33978","description":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33978","description":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33978","description":"Removal, Ventricular Assist Device; Extracorporeal Biventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33979","description":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33979","description":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33979","description":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33979","description":"Insertion, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33980","description":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33980","description":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33980","description":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33980","description":"Removal, Ventricular Assist Device, Implantable Intracorporeal, Single Ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33981","description":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33981","description":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33981","description":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33981","description":"\"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33982","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33982","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33982","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33982","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33983","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33983","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33983","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33983","description":"\"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33990","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33990","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33990","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33990","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33991","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33991","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33991","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33991","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal punc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33992","description":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33992","description":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33992","description":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33992","description":"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33993","description":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33993","description":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33993","description":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33993","description":"Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33995","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33995","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33995","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33995","description":"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33997","description":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33997","description":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33997","description":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33997","description":"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34001","description":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34001","description":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34001","description":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34001","description":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34001","description":"Embolectomy/Thrombectomy; Carotid/Subclavian/Innominate Artery, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34051","description":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34051","description":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34051","description":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34051","description":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34051","description":"Embolectomy/Thrombectomy; Innominate/Subclavian Artery, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34101","description":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34101","description":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34101","description":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34101","description":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34101","description":"Embolectomy/Thrombectomy; Axillary/Brachial/Innominate/Subclavian Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34111","description":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34111","description":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34111","description":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34111","description":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34111","description":"Embolectomy/Thrombectomy; Radial/Ulnar Artery, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34401","description":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34401","description":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34401","description":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34401","description":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34401","description":"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34490","description":"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34421","description":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34421","description":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34421","description":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34421","description":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34421","description":"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34501","description":"Valvuloplasty, femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34501","description":"Valvuloplasty, femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34501","description":"Valvuloplasty, femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34501","description":"Valvuloplasty, femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Vena Cava, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34502","description":"Reconstruction, Vena Cava, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Vena Cava, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34502","description":"Reconstruction, Vena Cava, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty, femoral vein","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34501","description":"Valvuloplasty, femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Vena Cava, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34502","description":"Reconstruction, Vena Cava, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction, Vena Cava, Any Method","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34502","description":"Reconstruction, Vena Cava, Any Method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous valve transposition, any vein donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34510","description":"Venous valve transposition, any vein donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous valve transposition, any vein donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34510","description":"Venous valve transposition, any vein donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous valve transposition, any vein donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34510","description":"Venous valve transposition, any vein donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous valve transposition, any vein donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34510","description":"Venous valve transposition, any vein donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Venous valve transposition, any vein donor","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34510","description":"Venous valve transposition, any vein donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft to venous system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34520","description":"Cross-over vein graft to venous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft to venous system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34520","description":"Cross-over vein graft to venous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft to venous system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34520","description":"Cross-over vein graft to venous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft to venous system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34520","description":"Cross-over vein graft to venous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft to venous system","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34520","description":"Cross-over vein graft to venous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Saphenopopliteal vein anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34530","description":"Saphenopopliteal vein anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Saphenopopliteal vein anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34530","description":"Saphenopopliteal vein anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Saphenopopliteal vein anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34530","description":"Saphenopopliteal vein anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Saphenopopliteal vein anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34530","description":"Saphenopopliteal vein anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Saphenopopliteal vein anastomosis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34530","description":"Saphenopopliteal vein anastomosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33608","description":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34717","description":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34717","description":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34717","description":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34717","description":"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34718","description":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34718","description":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34718","description":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34718","description":"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Endovasc, Iliac Artery Occlusion Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34808","description":"Placement, Endovasc, Iliac Artery Occlusion Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Endovasc, Iliac Artery Occlusion Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34808","description":"Placement, Endovasc, Iliac Artery Occlusion Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Endovasc, Iliac Artery Occlusion Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34808","description":"Placement, Endovasc, Iliac Artery Occlusion Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Endovasc, Iliac Artery Occlusion Device","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34808","description":"Placement, Endovasc, Iliac Artery Occlusion Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34813","description":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34813","description":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34813","description":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34813","description":"Placement, Fem-Fem Prosth Graft During Endovascular Aortic Aneurysm Repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34830","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34830","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34830","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34830","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34831","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34831","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34831","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34831","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34832","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34832","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34832","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34832","description":"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34841","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34841","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34841","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34841","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34842","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34842","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34842","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34842","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34843","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34843","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34843","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34843","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34844","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34844","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34844","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34844","description":"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34845","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34845","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34845","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34845","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34846","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34846","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34846","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34846","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34847","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34847","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34847","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34847","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34848","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34848","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34848","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"34848","description":"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35001","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35001","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35001","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35001","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35001","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35002","description":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35002","description":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35002","description":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35002","description":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35002","description":"Repair Direct/False Aneurysm/Excision & Graft; Ruptured Aneurysm, Carotid/Subclavian, Neck Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35005","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35005","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35005","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35005","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35005","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Vertebral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35013","description":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35013","description":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35013","description":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35013","description":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35013","description":"Repar Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneurysm, Axillabrachil Artry, Arm Incisn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35021","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35021","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35021","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35021","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35021","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Innominate/Subclavian, Thoracic Incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35081","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35081","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35081","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35081","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35082","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35082","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35082","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35082","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abdominal Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35091","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35091","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35091","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35091","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35091","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Visceral Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33608","description":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"33608","description":"Repair, Complex Cardiac Anomaly, Non-Pulm Atresia, W/Ventricular Septal Defect, Construct Conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35092","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35092","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35092","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35092","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35092","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/ Viscer Vessls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35102","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35102","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35102","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35102","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35102","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Abdominal Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35111","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35111","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35111","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35111","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35122","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35122","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35122","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35122","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35122","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Hepatic/Celiac/Renal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35131","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35131","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35131","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35131","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35131","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35132","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35132","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35132","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35132","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35132","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Iliac Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35141","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35141","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35141","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35141","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35141","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35142","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35142","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35142","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35142","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35142","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Common Femoral Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35151","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35151","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35151","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35151","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35151","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35180","description":"Repair, congenital arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35180","description":"Repair, congenital arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35180","description":"Repair, congenital arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35180","description":"Repair, congenital arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35152","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35152","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35152","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35152","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35152","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Popliteal Artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35182","description":"Repair, congenital arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35182","description":"Repair, congenital arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35182","description":"Repair, congenital arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35182","description":"Repair, congenital arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35184","description":"Repair, congenital arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35184","description":"Repair, congenital arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35184","description":"Repair, congenital arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35184","description":"Repair, congenital arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35188","description":"Repair, acquired or traumatic arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35188","description":"Repair, acquired or traumatic arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35188","description":"Repair, acquired or traumatic arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; head and neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35188","description":"Repair, acquired or traumatic arteriovenous fistula; head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35189","description":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35189","description":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35189","description":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35189","description":"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35190","description":"Repair, acquired or traumatic arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35190","description":"Repair, acquired or traumatic arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35190","description":"Repair, acquired or traumatic arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair, acquired or traumatic arteriovenous fistula; extremities","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35190","description":"Repair, acquired or traumatic arteriovenous fistula; extremities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; hand, finger","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35207","description":"Repair blood vessel, direct; hand, finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35201","description":"Repair blood vessel, direct; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35201","description":"Repair blood vessel, direct; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35201","description":"Repair blood vessel, direct; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35201","description":"Repair blood vessel, direct; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35201","description":"Repair blood vessel, direct; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35211","description":"Repair blood vessel, direct; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35211","description":"Repair blood vessel, direct; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35211","description":"Repair blood vessel, direct; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35211","description":"Repair blood vessel, direct; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35211","description":"Repair blood vessel, direct; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35216","description":"Repair blood vessel, direct; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35216","description":"Repair blood vessel, direct; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35216","description":"Repair blood vessel, direct; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35216","description":"Repair blood vessel, direct; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35216","description":"Repair blood vessel, direct; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35221","description":"Repair blood vessel, direct; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35221","description":"Repair blood vessel, direct; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35221","description":"Repair blood vessel, direct; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35221","description":"Repair blood vessel, direct; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35221","description":"Repair blood vessel, direct; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35226","description":"Repair blood vessel, direct; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35226","description":"Repair blood vessel, direct; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35226","description":"Repair blood vessel, direct; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35226","description":"Repair blood vessel, direct; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel, direct; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35226","description":"Repair blood vessel, direct; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35231","description":"Repair blood vessel with vein graft; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35231","description":"Repair blood vessel with vein graft; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35231","description":"Repair blood vessel with vein graft; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35231","description":"Repair blood vessel with vein graft; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35231","description":"Repair blood vessel with vein graft; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35236","description":"Repair blood vessel with vein graft; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35236","description":"Repair blood vessel with vein graft; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35236","description":"Repair blood vessel with vein graft; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35236","description":"Repair blood vessel with vein graft; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35236","description":"Repair blood vessel with vein graft; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35241","description":"Repair blood vessel with vein graft; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35241","description":"Repair blood vessel with vein graft; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35241","description":"Repair blood vessel with vein graft; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35241","description":"Repair blood vessel with vein graft; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, with bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35241","description":"Repair blood vessel with vein graft; intrathoracic, with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35251","description":"Repair blood vessel with vein graft; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35251","description":"Repair blood vessel with vein graft; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35251","description":"Repair blood vessel with vein graft; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35251","description":"Repair blood vessel with vein graft; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intra-abdominal","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35251","description":"Repair blood vessel with vein graft; intra-abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35246","description":"Repair blood vessel with vein graft; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35246","description":"Repair blood vessel with vein graft; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35246","description":"Repair blood vessel with vein graft; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35246","description":"Repair blood vessel with vein graft; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; intrathoracic, without bypass","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35246","description":"Repair blood vessel with vein graft; intrathoracic, without bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35256","description":"Repair blood vessel with vein graft; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35256","description":"Repair blood vessel with vein graft; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35256","description":"Repair blood vessel with vein graft; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35256","description":"Repair blood vessel with vein graft; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with vein graft; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35256","description":"Repair blood vessel with vein graft; lower extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35261","description":"Repair blood vessel with graft other than vein; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35261","description":"Repair blood vessel with graft other than vein; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35261","description":"Repair blood vessel with graft other than vein; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35261","description":"Repair blood vessel with graft other than vein; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35266","description":"Repair blood vessel with graft other than vein; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35266","description":"Repair blood vessel with graft other than vein; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35266","description":"Repair blood vessel with graft other than vein; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35266","description":"Repair blood vessel with graft other than vein; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; upper extremity","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35266","description":"Repair blood vessel with graft other than vein; upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel with graft other than vein; neck","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"35261","description":"Repair blood vessel with graft other than vein; neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["AS"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["81"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["80"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["50"]}],"provider_references":[404804238]}]},
{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["82"]}],"provider_references":[404804238]}]}]}
